Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1396930400 Active

Practice location

6851 Shannon Pkwy, Ste 200
Union City, GA 30291-2049

Call (770) 774-9033 Map

Fax (770) 774-3189

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	ESRD000783 (GA)

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

NPI record

NPI: 1396930400
Entity type: Organization (Type 2)
Issued: Sep 11, 2007
Last updated: Jun 1, 2020
Status: Active

Other names

<unavail>
Union City Dialysis · doing business as
Union City Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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 1396930400

Total Renal Care Inc's National Provider Identifier is 1396930400, issued on Sep 11, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Union City, GA. The record was last updated on Jun 1, 2020.