Organization · Type 2 NPI

Total Renal Care of North Carolina LLC

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

NPI number 1740249374 Active

Practice location

133 Limestone Rd
Kenansville, NC 28349-9019

Call (910) 441-3045 Map

Fax (910) 441-3063

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...

NPI record

NPI: 1740249374
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: May 28, 2024
Status: Active

Other names

<unavail>
Southeastern Dialysis Center Kenansville · doing business as
Southeastern Dialysis Center Kenansville · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1740249374

Total Renal Care of North Carolina LLC's National Provider Identifier is 1740249374, 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 Kenansville, NC. The record was last updated on May 28, 2024.