Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Myrtle Beach, SC

NPI number 1295789097 Active

Practice location

3919 Mayfair St
Myrtle Beach, SC 29577-5773

Call (843) 448-4920 Map

Fax (843) 448-4930

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	ERD-0163 (SC)

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

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NPI record

NPI: 1295789097
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Jul 7, 2025
Status: Active

Other names

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Myrtle Beach Dialysis · doing business as
Myrtle Beach Dialysis · doing business as

Authorized official

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

Verify this record

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 1295789097

Total Renal Care Inc's National Provider Identifier is 1295789097, issued on May 19, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 7, 2025.