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Total Renal Care Of North Carolina, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Kannapolis, NC. Organization (NPI-2).

NPI number1679106900
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1679106900
Entity type
Organization (NPI-2)
Legal business name
Total Renal Care Of North Carolina, LLC
Organization subpart
No
Enumeration date
Feb 14, 2020
Certification date
Dec 16, 2025
Last updated
Dec 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Cannon Dialysis (Doing Business As)

Practice location

614 S Cannon Blvd
Kannapolis, NC 28083-5240

Phone 704-273-3471 · Fax 704-273-3062

Mailing address

5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569

Authorized official

Samuel Wey
Vp Licensure & Certification
6153416641

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