institution
Statesville Dialysis Center Of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Statesville, North Carolina
NPI 1548247588

Statesville 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. Statesville Dialysis Center Of Wake Forest University practices in Statesville, NC. The NPI Number for Statesville Dialysis Center Of Wake Forest University is 1548247588 and holds a License No. (North Carolina).

The current practice location address for Statesville Dialysis Center Of Wake Forest University is 627 Signal Hill Drive Ext, Statesville, NC and can be reached out via phone at 704-872-0148 and via fax at 704-878-2179. You can also correspond with Statesville Dialysis Center Of Wake Forest University through the mailing address at PO BOX 7710, TIFTON, GA - 31793-7710 (mailing address contact number: 229-387-3527).

Location: 627 Signal Hill Drive Ext, Statesville, NC, 31793-7710
institution
Provider Profile Details
NPI Number
1548247588
Provider Name
Statesville Dialysis Center Of Wake Forest University
Credential
Provider Entity Type
Organization
Address
627 Signal Hill Drive Ext, Statesville, NC, 31793-7710
Phone Number
704-872-0148
Fax Number
704-878-2179
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3402527 05 NC
00559 01 NC BCBS-NC
institution
Provider Business Practice Location Address Details
Address
627 Signal Hill Drive Ext
City
State
Zip
28625-4353
Phone Number
704-872-0148
Fax Number
704-878-2179
person
Provider Business Mailing Address Details
Address
627 Signal Hill Drive Ext
City
State
Zip
28625-4353
Phone Number
704-872-0148
Fax Number
704-878-2179
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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