institution
Northside Dialysis Center Of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Winston-Salem, North Carolina
NPI 1114904133

Northside Dialysis Center Of Wake Forest University is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Tifton, NC and is specialized in End-Stage Renal Disease (ESRD) Treatment. Northside Dialysis Center Of Wake Forest University practices in Winston-Salem, NC. The NPI Number for Northside Dialysis Center Of Wake Forest University is 1114904133 and holds a License No. (North Carolina).

The current practice location address for Northside Dialysis Center Of Wake Forest University is 500 W Hanes Mill Rd, Winston-Salem, NC and can be reached out via phone at 336-744-0577 and via fax at 336-744-9021.

Location: 500 W Hanes Mill Rd, Winston-Salem, NC, 31793-7710
institution
Provider Profile Details
NPI Number
1114904133
Provider Name
Northside Dialysis Center Of Wake Forest University
Credential
Provider Entity Type
Organization
Address
500 W Hanes Mill Rd, Winston-Salem, NC, 31793-7710
Phone Number
336-744-0577
Fax Number
336-744-9021
Provider Enumeration Date
12/30/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
00084 01 NC BCBS-NC
3402612 05 NC
institution
Provider Business Practice Location Address Details
Address
500 W Hanes Mill Rd
City
State
Zip
27105-9814
Phone Number
336-744-0577
Fax Number
336-744-9021
person
Provider Business Mailing Address Details
Address
500 W Hanes Mill Rd
City
State
Zip
27105-9814
Phone Number
336-744-0577
Fax Number
336-744-9021
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(North Carolina)
Definition
Definition to come...
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