Healthcare Provider Details

I. General information

NPI: 1265810469
Provider Name (Legal Business Name): FRESENIUS VASCULAR CARE MONTGOMERY LLLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 FOREST AVE
MONTGOMERY AL
36106-1539
US

IV. Provider business mailing address

PO BOX 419159
BOSTON MA
02241-9159
US

V. Phone/Fax

Practice location:
  • Phone: 334-593-7434
  • Fax: 334-593-7060
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGG ARTHUR MILLER
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 717-515-4048