Organization
N.C. KIDNEY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM BYNUM IV M.D. (PHYSICIAN)
(252) 293-9898
Entity
Organization
Contact information
Practice address
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893-4448
(252) 293-9898
(252) 293-9915
Mailing address
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893-4448
(252) 293-9898
(252) 293-9915
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139C
BLUE CROSS GOUP NUMBER
NC
05
—
890139C
—
NC
Enumeration date
05/02/2007
Last updated
11/01/2021
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