Organization
EASTERN NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKI BAILEY DOO (DOO)
(205) 699-1632
Entity
Organization
Contact information
Practice address
48 MEDICAL PARK DR E, STE151, BIRMINGHAM, AL 35235-3400
(205) 699-1632
(866) 546-2124
Mailing address
48 MEDICAL PARK DR E, STE151, BIRMINGHAM, AL 35235-3400
(205) 699-1632
(866) 546-2124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093896466
NPI
AL
Enumeration date
01/09/2015
Last updated
01/09/2015
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