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
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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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