Northeast Alabama Kidney Clinic, Inc.

NPI #1912019753 in Talladega, Alabama

Provider Information

NPI Number: 1912019753
Entity Type: Organization
Organization Name: Northeast Alabama Kidney Clinic, Inc.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 805 NORTH ST E
City: Talladega
State: Alabama
ZIP Code: 35160-2529
Phone: (256) 315-1662

Authorized Official

Name: MARK FAWCETT
Title: TREASURER
Phone: (781) 402-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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