Organization
SOUTHERN RENAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
927 E PRUDHOMME ST, OPELOUSAS, LA 70570-8240
(337) 594-0675
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
10/05/2023
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