TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Stone Mountain, GA. TOTAL RENAL CARE INC NPI is 1093808834. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Park Dialysis.
The provider's business location address is:
5235 MEMORIAL DR
STONE MOUNTAIN, GA
ZIP 30083-112
Phone: (404) 296-1344
Fax: (404) 296-4706
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 CLIA number assigned to this NPI record is 11D1062045 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/6/2023.