Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

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

NPI number 1962461152 Active

Practice location

400 S Wayne St
Milledgeville, GA 31061-3446

Call (478) 453-9489 Map

Fax (478) 453-3100

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	ESRD001054 (GA)

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

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NPI record

NPI: 1962461152
Entity type: Organization (Type 2)
Issued: Mar 17, 2006
Last updated: Jun 19, 2025
Status: Active

Other names

<unavail>
Milledgeville Dialysis · doing business as
Milledgeville Dialysis · doing business as

Authorized official

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

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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 1962461152

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1962461152, issued on Mar 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Milledgeville, GA. The record was last updated on Jun 19, 2025.