Lake Norman Dialysis Center of Wake Forest University
NPI #1134106198 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1134106198
- Entity Type
- Organization
- Organization Name
- Lake Norman Dialysis Center of Wake Forest University
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 164 PROFESSIONAL PARK DR
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-5537
- Phone
- (704) 799-1860
Authorized Official
- Name
- TERRY L HALES JR.
- Title
- ASSISTANT TREASURER
- Phone
- (336) 716-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
Similar Providers
| Provider Name | |
|---|---|
| Independent Nephrology Services, Inc. | |
| Cabarrus Memorial Hospital | |
| Duke University Health System, Inc. | |
| Elkin Dialysis Center of Wake Forest University | |
| Lexington Dialysis Center of Wake Forest University |
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