institution
West Iredell Dialysis Center Of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Statesville, North Carolina
NPI 1124005079

West Iredell 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. West Iredell Dialysis Center Of Wake Forest University practices in Statesville, NC. The NPI Number for West Iredell Dialysis Center Of Wake Forest University is 1124005079 and holds a License No. (North Carolina).

The current practice location address for West Iredell Dialysis Center Of Wake Forest University is 115 Westbrook Ln, Statesville, NC and can be reached out via phone at 704-881-0336 and via fax at 704-881-0326.

Location: 115 Westbrook Ln, Statesville, NC, 31793-7710
institution
Provider Profile Details
NPI Number
1124005079
Provider Name
West Iredell Dialysis Center Of Wake Forest University
Credential
Provider Entity Type
Organization
Address
115 Westbrook Ln, Statesville, NC, 31793-7710
Phone Number
704-881-0336
Fax Number
704-881-0326
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3402636 05 NC
001FG 01 NC BCBS-NC
institution
Provider Business Practice Location Address Details
Address
115 Westbrook Ln
City
State
Zip
28625-2349
Phone Number
704-881-0336
Fax Number
704-881-0326
person
Provider Business Mailing Address Details
Address
115 Westbrook Ln
City
State
Zip
28625-2349
Phone Number
704-881-0336
Fax Number
704-881-0326
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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