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
| 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...
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.