Organization
ADVANCED KIDNEY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHER AL-SHALLAH M.D. (CHIEF MANAGER)
(901) 821-0338
Entity
Organization
Contact information
Practice address
7710 WOLF RIVER CIR, GERMANTOWN, TN 38138-1734
(901) 888-4144
Mailing address
PO BOX 847, CORDOVA, TN 38088-0847
(901) 888-4144
(901) 537-1894
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
46930
TN
Other
Enumeration date
09/30/2013
Last updated
09/19/2023
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