RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. is an end-stage renal disease (esrd) treatment clinic center in Jackson, GA. RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. NPI is 1558330522. The provider is registered as an organization entity type.
The provider Is Doing Business As Grovepark Dialysis.
The provider's business location address is:
794 MCDONOUGH RD
JACKSON, GA
ZIP 30233-572
Phone: (770) 504-0365
Fax: (770) 504-8761
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 11D1026159 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2006 and was last updated on 4/3/2024.