Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1386737112 Active

Practice location

10680 Medlock Bridge Rd, Ste 103
Duluth, GA 30097-8420

Call (770) 622-2167 Map

Fax (770) 622-5542

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	ESRD000794 (GA)

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

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NPI record

NPI: 1386737112
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Apr 29, 2025
Status: Active

Other names

<unavail>
Medlock Bridge Dialysis · doing business as
Medlock Bridge Dialysis · doing business as

Authorized official

Samuel 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 1386737112

Total Renal Care Inc's National Provider Identifier is 1386737112, issued on Oct 2, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Duluth, GA. The record was last updated on Apr 29, 2025.