Organization · Type 2 NPI
Renal Treatment Centers Mid Atlantic Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Forest Park, GA
NPI number
1760451678
Active
Practice location
380 Forest Pkwy Ste C
Forest Park, GA 30297-2107
Fax (404) 361-0727
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 | ESRD001186 (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1760451678
Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1760451678, 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 Forest Park, GA. The record was last updated on Oct 21, 2025.