| NPI | 1922769322 |
|---|---|
| Doing Business As | RUSSELLVILLE NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | JERRY EDGIN Chief Executive Officer 501-624-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |