1114904141 SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY

End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Active

Basic Information

Organization Name
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY
Enumeration Date
December 30, 2005
Last Update
August 15, 2023
Authorized Official
TERRY L HALES JR.
ASSISTANT TREASURER
Phone: (336) 716-3003

Practice Location

Address
2705 BOULDER PARK CT
WINSTON-SALEM, NC 271014776
Phone
(336) 761-8808
Fax
(336) 761-8864

Mailing Address

Address
PO BOX 7710
TIFTON, GA 317937710
Phone
(229) 387-3527
Fax
(229) 386-2149

Specialties & Taxonomies

Specialty Code Classification License State Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
261QE0700X Clinic/Center N/A NC Primary

Other Identifiers

Identifier Type State Issuer
3402569 05 NC N/A
0055E 01 NC BCBS-NC

Frequently Asked Questions

What is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's NPI number?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's NPI number is 1114904141.
Which doctor has NPI number 1114904141?
The doctor with NPI number 1114904141 is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY.
What is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's practice address?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's practice address is 2705 BOULDER PARK CT, WINSTON-SALEM, NC, 271014776.
Which doctor practices at 2705 BOULDER PARK CT, WINSTON-SALEM, NC, 271014776?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY practices at 2705 BOULDER PARK CT, WINSTON-SALEM, NC, 271014776.
What is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's mailing address?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's mailing address is PO BOX 7710, TIFTON, GA, 317937710.
What is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's phone number?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's phone number is (336) 761-8808.
Who is (336) 761-8808?
(336) 761-8808 is the phone number for SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY.
What is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's specialty?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY's specialty is End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
What type of doctor is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center.
Is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY a End-Stage Renal Disease (ESRD) Treatment?
Yes, SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY is a End-Stage Renal Disease (ESRD) Treatment.
Is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY still practicing?
Yes, SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY is currently practicing.
Is SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY accepting new patients?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY may be accepting new patients. Please call their office at (336) 761-8808 to inquire about availability.
Is NPI 1114904141 still active?
Yes, NPI 1114904141 is currently active.
Where does SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY practice?
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY practices in WINSTON-SALEM, NC.