Organization · Type 2 NPI
North Davidson Dialysis Center of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Winston Salem, NC
NPI number
1821695164
Active
Practice location
295 Millers Creek Dr
Winston Salem, NC 27127-8923
Fax (336) 793-0415
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...
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About NPI 1821695164
North Davidson Dialysis Center of Wake Forest University's National Provider Identifier is 1821695164, issued on Oct 8, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 9, 2026.