North Randolph Dialysis Center of Wake Forest University
NPI #1699129627 in Archdale, North Carolina
Provider Information
- NPI Number
- 1699129627
- Entity Type
- Organization
- Organization Name
- North Randolph Dialysis Center of Wake Forest University
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 15, 2016
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 5948 MENDENHALL ROAD EXT
- City
- Archdale
- State
- North Carolina
- ZIP Code
- 27263-4349
- Phone
- (336) 434-8910
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 |
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