Organization · Type 2 NPI

Total Renal Care of North Carolina LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Wilmington, NC

NPI number 1093774473 Active

Practice location

2215 Yaupon Dr
Wilmington, NC 28401-7334

Call (910) 343-0664 Map

Fax (910) 343-0674

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1093774473
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: Jun 30, 2025
Status: Active

Other names

<unavail>
Southeastern Dialysis Center Wilmington · doing business as
Southeastern Dialysis Center Wilmington · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1093774473

Total Renal Care of North Carolina LLC's National Provider Identifier is 1093774473, issued on Mar 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wilmington, NC. The record was last updated on Jun 30, 2025.