Organization · Type 2 NPI

Northside Dialysis Center of Wake Forest University

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

NPI number 1114904133 Active

About NPI 1114904133

Northside Dialysis Center of Wake Forest University's National Provider Identifier is 1114904133, issued on Dec 30, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 9, 2026.