Healthcare Provider Details

I. General information

NPI: 1972366243
Provider Name (Legal Business Name): LIMESTONE NEPHROLOGY AND PULMONOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 W MARKET ST STE 7
ATHENS AL
35611-2454
US

IV. Provider business mailing address

1005 W MARKET ST STE 7
ATHENS AL
35611-2454
US

V. Phone/Fax

Practice location:
  • Phone: 256-262-5730
  • Fax: 938-227-2995
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES COMER
Title or Position: CFO-COO
Credential:
Phone: 256-262-6449