Organization
TOTAL RENAL CARE OF NORTH CAROLINA LLC
Active
Other names
Clayton Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
220 SPRINGBROOK AVE STE 120, CLAYTON, NC 27520-5311
(919) 986-9216
Mailing address
5200 VIRGINIA WAY, L AND C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 935-2411
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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