institution
Mt. Airy Dialysis Center Of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mt Airy, North Carolina
NPI 1982681904

Mt. Airy 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. Mt. Airy Dialysis Center Of Wake Forest University practices in Mt Airy, NC. The NPI Number for Mt. Airy Dialysis Center Of Wake Forest University is 1982681904 and holds a License No. (North Carolina).

The current practice location address for Mt. Airy Dialysis Center Of Wake Forest University is 1280 Newsome St, Mt Airy, NC and can be reached out via phone at 336-789-4090 and via fax at 336-789-9629.

Location: 1280 Newsome St, Mt Airy, NC, 31793-7710
institution
Provider Profile Details
NPI Number
1982681904
Provider Name
Mt. Airy Dialysis Center Of Wake Forest University
Credential
Provider Entity Type
Organization
Address
1280 Newsome St, Mt Airy, NC, 31793-7710
Phone Number
336-789-4090
Fax Number
336-789-9629
Provider Enumeration Date
12/30/2005
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3412551 05 NC
0054Q 01 NC BCBS-NC
institution
Provider Business Practice Location Address Details
Address
1280 Newsome St
City
State
Zip
27030-5442
Phone Number
336-789-4090
Fax Number
336-789-9629
person
Provider Business Mailing Address Details
Address
1280 Newsome St
City
State
Zip
27030-5442
Phone Number
336-789-4090
Fax Number
336-789-9629
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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