Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

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

NPI number 1912567330 Active

Practice location

501 Walnut Way
Palmetto, GA 30268-1800

Call (770) 463-2394 Map

Fax (770) 463-5717

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	None listed

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Palmetto

Nra-Palmetto, Georgia, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Palmetto, GA NPI 1760681506

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NPI record

NPI: 1912567330
Entity type: Organization (Type 2)
Issued: Jun 18, 2019
Last updated: Mar 3, 2026
Status: Active

Other names

<unavail>
Fairburn Palmetto Dialysis · doing business as
Fairburn Palmetto Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1912567330

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1912567330, issued on Jun 18, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Palmetto, GA. The record was last updated on Mar 3, 2026.