# PEDIATRIC NEPHROLOGY OF ALABAMA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245546993
- **Authorized official:** MAX MILLER (BILLING MANAGER)
- **Authorized official phone:** (256) 562-0025

## Contact information

- **Practice address:** 1425 RICHARD ARRINGTON JR BLVD S, SUITE 206, BIRMINGHAM, AL 35205-3898
- **Practice address phone:** (205) 558-3200
- **Practice address fax:** (205) 558-2055
- **Mailing address:** 1425 RICHARD ARRINGTON JR BLVD S, SUITE 206, BIRMINGHAM, AL 35205-3898
- **Mailing address phone:** (205) 558-3200
- **Mailing address fax:** (205) 558-2055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | 12284 | AL | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010