Organization
DIALYSIS CLINIC INC.
Active
Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
62 COGSWELL AVE, PELL CITY, AL 35125-2438
(205) 884-4240
(205) 884-3157
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(605) 342-0552
(615) 341-9261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
07988
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2562D
—
AL
Enumeration date
07/08/2006
Last updated
05/08/2025
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