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Organization

NRA-UNION SPRINGS, ALABAMA, LLC

Active
Other names
Bullock County Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JON M. SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization

Contact information

Practice address
109 CONECUH AVE W, UNION SPRINGS, AL 36089-1317
(334) 738-5715
Mailing address
115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN 37027-2311
(615) 661-1100
(615) 507-3300

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/16/2008
Last updated
02/03/2009
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