Organization
PHYSICIANS CHOICE DIALYSIS OF CALHOUN COUNTY LLC
Active
Other names
Physicians Choice Dialysis of Talladega
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J KARL (MEMBER/MANAGER)
(610) 495-8900
Entity
Organization
Contact information
Practice address
805 NORTH STREET EAST, TALLADEGA, AL 35160
(256) 315-1662
Mailing address
211 COMMERCE COURT, SUITE 104, POTTSTOWN, PA 19464
(610) 495-8900
(610) 495-8560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013-379
BCBS OF ALABAMA
AL
05
—
DIA2539D
—
AL
Enumeration date
05/05/2008
Last updated
10/02/2009
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