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Organization
NEPHROLOGY OF NORTH ALABAMA P.C.
Active
Organization
NEPHROLOGY OF NORTH ALABAMA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD DWAIN GLADISH M.D. (OWNER)
(256) 340-0012
Entity
Organization
Contact information
Practice address
1216 SOMERVILLE ROAD SE, DECATUR, AL 35601-3337
(256) 340-0012
(256) 340-1408
Mailing address
1216 SOMERVILLE RD SE, DECATUR, AL 35601-4335
(256) 340-0012
(256) 340-1408
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3006
RAILROAD MEDICARE
AL
Enumeration date
07/11/2006
Last updated
05/16/2023
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