Organization · Type 2 NPI
Renal Treatment Centers Mid Atlantic Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Buena Vista, GA
NPI number
1689643306
Active
Practice location
102 East Burkhalter Ave, Suite A
Buena Vista, GA 31803-1701
Fax (229) 649-6410
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 | ESRD001122 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1689643306
Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1689643306, issued on Mar 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Buena Vista, GA. The record was last updated on Oct 13, 2015.