Organization · Type 2 NPI
Northlake Nephrology PLLC
Nephrology Physician · Statesville, NC
NPI number
1174548028
Active
Practice location
1665 Davie Ave
Statesville, NC 28677-3519
Fax (704) 978-0054
Mailing address
125 Henry Ln
Mooresville, NC 28117-8767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | 200200166 (NC) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Other nephrology physician providers in Statesville
About NPI 1174548028
Northlake Nephrology PLLC's National Provider Identifier is 1174548028, issued on Jul 13, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Statesville, NC. The record was last updated on Oct 16, 2013.