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STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY, AHC Facilities / End-Stage Renal Disease (ESRD) Treatment

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Stethoscope
Reviews Information on STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI Number 1548247588
State Identifier(s) North Carolina Other ID #00559
North Carolina Medicare ID #342527
North Carolina Medicaid #3402527
Group Name STATESVILLE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Doing business as STATESVILLE DIALYSIS CENTER
Credentials - Lic #: (North Carolina)
Mailing Address Confidential
Business Address 627 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4353

Phone (704) 872-0148 Fax (704) 878-2179
Name TERRY L HALES - (ASSISTANT TREASURER)
Primary Specialty AHC Facilities / End-Stage Renal Disease (ESRD) Treatment
Additional Specialties
Last Modified 04/10/2013
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