Organization · Type 2 NPI

Total Renal Care of North Carolina LLC

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

NPI number 1346209970 Active

Practice location

14 Office Park Dr
Jacksonville, NC 28546-7325

Call (910) 353-6888 Map

Fax (910) 353-6839

Mailing address

5200 Virginia Way, Att: 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: 1346209970
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: May 31, 2024
Status: Active

Other names

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Southeastern Dialysis Center Jacksonville · doing business as
Southeastern Dialysis Center Jacksonville · doing business as

Authorized official

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

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About NPI 1346209970

Total Renal Care of North Carolina LLC's National Provider Identifier is 1346209970, 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 Jacksonville, NC. The record was last updated on May 31, 2024.