Organization
PHYSICIANS CHOICE DIALYSIS OF SELMA, LLC
Active
Organization
PHYSICIANS CHOICE DIALYSIS OF SELMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA PALUMBO (ASST SECRETARY ASST TREAURER)
(610) 495-8900
Entity
Organization
Contact information
Practice address
201 LINCOLN LN, SELMA, AL 36701-7748
(334) 875-5436
(334) 872-8547
Mailing address
PO BOX 534421, ATLANTA, GA 30353-4421
(610) 495-8900
(610) 495-8560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S2403
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012-438
BLUE CROSS ALABAMA
AL
05
—
DIA2614D
—
AL
Enumeration date
11/24/2006
Last updated
09/27/2007
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