MT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY is an end-stage renal disease (esrd) treatment clinic center in Mt Airy, NC. MT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY NPI is 1982681904. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Airy Dialysis Center.
The provider's business location address is:
1280 NEWSOME ST
MT AIRY, NC
ZIP 27030-442
Phone: (336) 789-4090
Fax: (336) 789-9629
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 34D0667479 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/30/2005 and was last updated on 8/15/2023.