Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

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

NPI number 1215906136 Active

Practice location

557 Bluebird Blvd
Fort Valley, GA 31030-5083

Call (478) 825-7208 Map

Fax (478) 825-3114

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD001092 (GA)

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Fort Valley

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NPI record

NPI: 1215906136
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Sep 14, 2026
Status: Active

Other names

<unavail>
Fort Valley Dialysis · doing business as
Fort Valley Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1215906136

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1215906136, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Valley, GA. The record was last updated on Sep 14, 2026.