Organization
PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC
Active
Other names
Physicians Choice Dialysis - Montgomery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1001 FOREST AVENUE, MONTGOMERY, AL 36106
(334) 269-9416
(334) 269-0024
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S5103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760446199
—
AL
Enumeration date
04/13/2006
Last updated
08/14/2020
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