Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Austell, GA

NPI number 1043547532 Active

Practice location

2840 E West Connector Ste 350
Austell, GA 30106-6852

Call (770) 222-2236 Map

Fax (770) 222-4907

Mailing address

5200 Virginia Way, L&c Dept.
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD000741 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1043547532
Entity type: Organization (Type 2)
Issued: Nov 4, 2009
Last updated: Jun 1, 2020
Status: Active

Other names

<unavail>
Colonial Springs Dialysis · doing business as
Colonial Springs Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043547532

Total Renal Care Inc's National Provider Identifier is 1043547532, issued on Nov 4, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Austell, GA. The record was last updated on Jun 1, 2020.