Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
208 BROADWAY DRIVE, SW, CULLMAN, AL 35055
(256) 737-8222
(256) 737-8223
Mailing address
1601 6TH AVE SE, DECATUR, AL 35601-4919
(256) 350-8882
(256) 350-8761
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
10/05/2023
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