Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1770939118 Active

Practice location

401 Town Park Blvd
Evans, GA 30809-3487

Call (706) 854-9502 Map

Fax (706) 855-9982

Mailing address

5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

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NPI record

NPI: 1770939118
Entity type: Organization (Type 2)
Issued: May 4, 2016
Last updated: May 19, 2025
Status: Active

Other names

<unavail>
Town Park Dialysis · doing business as
Town Park 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 1770939118

Total Renal Care Inc's National Provider Identifier is 1770939118, issued on May 4, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Evans, GA. The record was last updated on May 19, 2025.