Organization
TOTAL RENAL CARE OF NORTH CAROLINA LLC
Active
Other names
Southeastern Dialysis Center - Burgaw
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
704 S DICKERSON ST, BURGAW, NC 28425-4904
(910) 259-9925
(910) 259-7067
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
—
3422558
—
NC
Enumeration date
03/21/2006
Last updated
09/18/2025
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