Healthcare Provider Details

I. General information

NPI: 1881659423
Provider Name (Legal Business Name): RENAL ASSOCIATES OF MONTGOMERY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 WOODMERE BLVD
MONTGOMERY AL
36106-3065
US

IV. Provider business mailing address

4760 WOODMERE BLVD
MONTGOMERY AL
36106-3065
US

V. Phone/Fax

Practice location:
  • Phone: 334-288-0814
  • Fax: 334-288-3417
Mailing address:
  • Phone: 334-288-0814
  • Fax: 334-288-3417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT BOYD HOIT JR.
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 334-288-0814