Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Statesboro, GA
NPI number
1104885110
Active
Practice location
4B College Plaza
Statesboro, GA 30458-4928
Fax (912) 871-3615
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 | ESRD001071 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Statesboro
About NPI 1104885110
Total Renal Care Inc's National Provider Identifier is 1104885110, issued on Mar 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Statesboro, GA. The record was last updated on Dec 19, 2013.