Organization
DIALYSIS CLINIC INC.
Active
Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
29 MITYLENE PARK LANE, MONTGOMERY, AL 36117-7303
(334) 265-9190
(334) 241-4339
Mailing address
544 S MCDONOUGH ST, MONTGOMERY, AL 36104-4614
(334) 265-9190
(334) 241-4339
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AL
Other
Enumeration date
04/19/2012
Last updated
10/04/2023
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