DAVIE KIDNEY CENTER OF WAKE FOREST UNIVERSITY is an end-stage renal disease (esrd) treatment clinic center in Mocksville, NC. DAVIE KIDNEY CENTER OF WAKE FOREST UNIVERSITY NPI is 1932421427. The provider is registered as an organization entity type.
The provider Is Doing Business As Davie Kidney Center.
The provider's business location address is:
190 INTERSTATE DRIVE
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 753-1210
Fax: (336) 753-1529
The provider's authorized official is Terry L Hales .
The authorized official title is Assistant Treasurer and has the following contact phone number (336) 716-3003.
The CLIA number assigned to this NPI record is 34D2004455 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/24/2010 and was last updated on 10/25/2022.