Organization · Type 2 NPI

North Randolph Dialysis Center of Wake Forest University

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

NPI number 1699129627 Active

Practice location

5948 Mendenhall Road Ext
Archdale, NC 27263-4349

Fax (336) 434-8929

Mailing address

PO Box 7350
Tifton, GA 31793-7350

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

About NPI 1699129627

North Randolph Dialysis Center of Wake Forest University's National Provider Identifier is 1699129627, issued on Apr 15, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Archdale, NC. The record was last updated on Feb 9, 2026.