| NPI | 1093896466 |
|---|---|
| Former Legal Business Name | EASTERN NEPHROLOGY, PC |
| Entity Type | Organization |
| Authorized Contact | KELLY F AMERSON Billing 205-856-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00007283) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 0007283) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-05-10 |