MILLER STREET DIALYSIS CENTER OF WAKE FOREST UNIVERSITY is an end-stage renal disease (esrd) treatment clinic center in Winston Salem, NC. MILLER STREET DIALYSIS CENTER OF WAKE FOREST UNIVERSITY NPI is 1407000540. The provider is registered as an organization entity type.
The provider Is Doing Business As Miller Street Dialysis Center.
The provider's business location address is:
120 MILLER ST
WINSTON SALEM, NC
ZIP 27103-509
Phone: (336) 721-4801
Fax: (336) 721-4861
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 34D1092234 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/14/2008 and was last updated on 8/15/2023.