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West Alabama Nephrology, Pc
Specialist in Northport, Alabama
NPI 1225197197

West Alabama Nephrology, Pc is a Specialist based in Northport, AL. West Alabama Nephrology, Pc practices in Northport, AL. The NPI Number for West Alabama Nephrology, Pc is 1225197197 and holds a License No. 9748 (Alabama).

The current practice location address for West Alabama Nephrology, Pc is 4400 Watermelon Rd, Northport, AL and can be reached out via phone at 205-345-6302 and via fax at 205-247-4300.

Location: 4400 Watermelon Rd, Northport, AL, 35473-5204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225197197
Provider Name
West Alabama Nephrology, Pc
Credential
Provider Entity Type
Organization
Address
4400 Watermelon Rd, Northport, AL, 35473-5204
Phone Number
205-345-6302
Fax Number
205-247-4300
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103380 05 AL
28996 01 AL AL LICENSE
51591962 01 AL BCBS NUMBER
000037267 05 AL
51037267 01 AL BCBS
529603880 05 AL
9748 01 AL AL LICENSE
institution
Provider Business Practice Location Address Details
Address
4400 Watermelon Rd
City
Northport
State
Alabama
Zip
35473-5204
Phone Number
205-345-6302
Fax Number
205-247-4300
person
Provider Business Mailing Address Details
Address
4400 Watermelon Rd
City
Northport
State
Alabama
Zip
35473-5204
Phone Number
205-345-6302
Fax Number
205-247-4300
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9748 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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