| Eastern Nephrology | |
|
48 Medical Park Dr E Ste151 Birmingham AL 35235-3400 | |
| (205) 699-1632 | |
| (866) 546-2124 |
| Full Name | Eastern Nephrology |
|---|---|
| Speciality | Internal Medicine |
| Location | 48 Medical Park Dr E, Birmingham, Alabama |
| Authorized Official Name and Position | Jacki Bailey (DOO) |
| Authorized Official Contact | 2056991632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Nephrology 48 Medical Park Dr E Ste151 Birmingham AL 35235-3400 Ph: (205) 699-1632 | Eastern Nephrology 48 Medical Park Dr E Ste151 Birmingham AL 35235-3400 Ph: (205) 699-1632 |
| NPI Number | 1790174027 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790174027 | NPI | - | NPPES |
| 1093896466 | Other | AL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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