Organization
TOTAL RENAL CARE OF NORTH CAROLINA, LLC
Active
Other names
New Hanover Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3147 S 17TH ST, WILMINGTON, NC 28412-1030
(910) 794-6110
(910) 794-4288
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295196491
—
NC
Enumeration date
03/15/2016
Last updated
03/04/2025
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