Wilkes Dialysis Center of Wake Forest University
NPI #1760904155 in North Wilkesboro, North Carolina
Provider Information
- NPI Number
- 1760904155
- Entity Type
- Organization
- Organization Name
- Wilkes Dialysis Center of Wake Forest University
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 7, 2017
- Last Updated
- Mar 5, 2020
Practice Location
- Address
- 1917 W PARK DR # A
- City
- North Wilkesboro
- State
- North Carolina
- ZIP Code
- 28659-3564
- Phone
- (336) 667-3762
Authorized Official
- Name
- TERRY LEE HALES JR.
- Title
- DIRECTOR / OFFICER
- Phone
- (229) 387-3528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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