Organization · Type 2 NPI

Total Renal Care of North Carolina LLC

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

NPI number 1912307596 Active

Practice location

111 Yopp Road
Jacksonville, NC 28540-3509

Call (910) 989-0157 Map

Fax (910) 989-0328

Mailing address

5200 Virginia Way, L & C Department
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: 1912307596
Entity type: Organization (Type 2)
Issued: Sep 2, 2014
Last updated: Jun 17, 2024
Status: Active

Other names

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New River Dialysis · doing business as
New River Dialysis · doing business as

Authorized official

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

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About NPI 1912307596

Total Renal Care of North Carolina LLC's National Provider Identifier is 1912307596, issued on Sep 2, 2014. 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 Jun 17, 2024.