RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI 1760004360

NPI Information

RENAL TREATMENT CENTERS MID ATLANTIC INC. is an end-stage renal disease (esrd) treatment clinic center in Norfolk, VA. RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI is 1760004360. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Tide Dialysis.

The provider's business location address is:

7525 TIDEWATER DR STE 37
NORFOLK, VA
ZIP 23505-700
Phone: (757) 852-0518
Fax: (757) 852-0543

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 5/18/2020 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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