Organization
DIALYSIS CLINIC INC.
Active
Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1912 CHERRY ST., MONTGOMERY, AL 36107-2607
(334) 264-1060
(334) 265-0036
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124532
—
AL
01
—
S5107
STATE LICENSE
AL
Enumeration date
03/11/2010
Last updated
10/05/2023
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