Organization · Type 2 NPI
Renal Treatment Centers Mid Atlantic Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jackson, GA
NPI number
1558330522
Active
Practice location
794 Mcdonough Rd
Jackson, GA 30233-1572
Fax (770) 504-8761
Mailing address
5200 Virginia Way, Att: L&c Dept.
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | ESRD001236 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
9 other providers at this address
- Bennie R White JR MD IncPrimary Care Clinic/Center Jackson, GA NPI 1306019104
- Jackson Dialysis CenterEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Jackson, GA NPI 1033329198
- Select Interventional Pain, PCInterventional Pain Medicine Physician Jackson, GA NPI 1750789947
- South Georgia Treatment, IncMethadone Clinic Jackson, GA NPI 1093963944
- Bennie R. White Jr., MDFamily Medicine Physician Jackson, GA NPI 1376575225
- Dana B. Bass Burch, PAMedical Physician Assistant Jackson, GA NPI 1992943195
- Derrell Levohn Leggett, MDInterventional Pain Medicine Physician Jackson, GA NPI 1306025630
- Jaimi Marie Norrell, NP-CFamily Nurse Practitioner Jackson, GA NPI 1306126529
- Jennifer Monsrud, NPFamily Nurse Practitioner Jackson, GA NPI 1699335810
Other end-stage renal disease (esrd) treatment clinic/center providers in Jackson
About NPI 1558330522
Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1558330522, 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 Jackson, GA. The record was last updated on Dec 16, 2025.