STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

STATESVILLE, NC
NPI1548247588
Doing Business AsSTATESVILLE DIALYSIS CENTER
Entity TypeOrganization
Authorized ContactTERRY L HALES
Assistant Treasurer
336-716-3003
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2005-12-30
Last Update Date2023-08-15
Business Address
STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
627 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4353
Phone number: 704-872-0148
Mailing Address
STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
PO BOX 7710
TIFTON, GA 31793-7710
Phone number: 229-387-3527