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Contact Information

EASTERN NEPHROLOGY, PC
1524 HUFFMAN ROAD
BIRMINGHAM, AL35215
 Phone: 205-856-0011
 Fax: 205-856-0726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EASTERN NEPHROLOGY PC · (Female)

NPI Number 1093896466
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2006
Last updated 05/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 00007283
  • AL License # 0007283
  • AL Medicaid 000011134
  • AL Medicaid 009961755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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