Organization · Type 2 NPI
West Iredell Dialysis Center of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Statesville, NC
NPI number
1124005079
Active
Practice location
115 Westbrook Ln
Statesville, NC 28625-2349
Fax (704) 881-0326
Mailing address
PO Box 7350
Tifton, GA 31793-7350
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Statesville
About NPI 1124005079
West Iredell Dialysis Center of Wake Forest University's National Provider Identifier is 1124005079, 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 Statesville, NC. The record was last updated on Feb 9, 2026.