Organization
RENAL TREATMENT CENTERS- SOUTHEAST, LP
Active
Other names
Magic City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHEIF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
300 22ND ST S, BIRMINGHAM, AL 35233-2209
(205) 321-6178
(205) 321-6293
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4230
(866) 376-5823
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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