Salem Kidney Center Of Wake Forest University

NPI 1114904141 - Clinic/Center - 261QE0700X

NPI Details
NPI 1114904141
Enumeration Date 12/30/2005
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERRY L TERRY
Position ASSISTANT TREASURER
Phone (336) 761-8808
Fax (336) 761-8864
Practice Location
2705 BOULDER PARK CT
WINSTON-SALEM NC, 27101-4776, US
Phone (336) 761-8808
Fax (336) 761-8864
Business Location
PO BOX 7710
TIFTON GA, 31793-7710, US
Phone (229) 387-3527
Fax (229) 386-2149
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1114904141 NPI Number
 

According to our database, Salem Kidney Center Of Wake Forest University NPI is 1114904141, taxonomy code is 261QE0700X Salem Kidney Center Of Wake Forest University physically located at 2705 Boulder Park Ct, Winston-salem NC, 27101-4776. NPI Number 1033115704 has the healthcare provider type.

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1114904141 NPI number is provided on an as is basis without warranty of any kind. 1114904141 is maintained by the National Plan & Provider Enumeration System. The contents of Salem Kidney Center Of Wake Forest University are for informational purposes only.