Organization
KANDUNCE DIALYSIS LLC
Active
Other names
Wofford 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
8024 WHITE AVE, SPARTANBURG, SC 29303-2043
(864) 583-4798
(864) 583-8220
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RE0075
—
SC
Enumeration date
10/29/2014
Last updated
04/30/2025
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