Organization
EASTERN NEPHROLOGY, PC
Active
Other names
Eastern Nephrology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY F AMERSON (BILLING)
(205) 856-0011
Entity
Organization
Contact information
Practice address
1524 HUFFMAN ROAD, BIRMINGHAM, AL 35215
(205) 856-0011
(205) 856-0726
Mailing address
1524 HUFFMAN ROAD, BIRMINGHAM, AL 35215
(205) 856-0011
(205) 856-0726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00007283
AL
207RN0300X
Nephrology Physician
0007283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011134
—
AL
05
—
009961755
—
AL
Enumeration date
10/18/2006
Last updated
05/10/2012
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