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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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