Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

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

NPI number 1174086698 Active

Practice location

105 Adair Dr
Goldsboro, NC 27530-4516

Call (919) 581-9831 Map

Fax (919) 735-4840

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: 1174086698
Entity type: Organization (Type 2)
Issued: Apr 11, 2019
Last updated: Oct 9, 2025
Status: Active

Other names

<unavail>
Rosewood Dialysis · doing business as
Rosewood Dialysis · doing business as

Authorized official

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

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About NPI 1174086698

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1174086698, issued on Apr 11, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Goldsboro, NC. The record was last updated on Oct 9, 2025.