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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

NPI # 1093896466
LBN Legal business name EASTERN NEPHROLOGY, PC
Authorized official KELLY AMERSON - (BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 05/10/2012 - About 14 years ago
Identifiers
AL License # 00007283
AL License # 0007283
AL Medicaid 000011134
AL Medicaid 009961755
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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