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Northlake Nephrology Pllc
Nephrology Physician in Statesville, North Carolina
NPI 1174548028

Northlake Nephrology Pllc is a Nephrology Physician based in Mooresville, NC and is specialized in Nephrology. Northlake Nephrology Pllc practices in Statesville, NC. The NPI Number for Northlake Nephrology Pllc is 1174548028 and holds a License No. 200200166 (North Carolina).

The current practice location address for Northlake Nephrology Pllc is 1665 Davie Ave, Statesville, NC and can be reached out via phone at 704-978-0052 and via fax at 704-978-0054.

Location: 1665 Davie Ave, Statesville, NC, 28117-8767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174548028
Provider Name
Northlake Nephrology Pllc
Credential
Provider Entity Type
Organization
Address
1665 Davie Ave, Statesville, NC, 28117-8767
Phone Number
704-978-0052
Fax Number
704-978-0054
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89131MK 05 NC
89131MK 01 NC BCBS
DF7259 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1665 Davie Ave
City
Statesville
State
North Carolina
Zip
28677-3519
Phone Number
704-978-0052
Fax Number
704-978-0054
person
Provider Business Mailing Address Details
Address
1665 Davie Ave
City
Statesville
State
North Carolina
Zip
28677-3519
Phone Number
704-978-0052
Fax Number
704-978-0054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
200200166 (North Carolina)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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