Organization
PHYSICIANS CHOICE DIALYSIS OF ATTALLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (DIRECTOR OF LEGAL/HR)
(610) 495-8900
Entity
Organization
Contact information
Practice address
801 GILBERT FERRY RD SE, ATTALLA, AL 35954-3362
(256) 691-0766
(256) 691-0789
Mailing address
211 COMMERCE CT, SUITE 104, POTTSTOWN, PA 19464-3483
(610) 495-8900
(610) 495-8560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146338
—
AL
Enumeration date
05/29/2012
Last updated
02/06/2015
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