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NPI Code Detail

MEDICARE: NEPHROLOGY ASSOCIATES OF MOBILE, PA

MEDICARE: NEPHROLOGY ASSOCIATES OF MOBILE, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner1-080490AL

General Provider Information

NPI Number : 1558534933
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPHROLOGY ASSOCIATES OF MOBILE, PA
Provider Business Mailing Address
First Line : PO BOX 850849
Second Line :
City : MOBILE
State : AL
Zip : 36685-0849
Country : US
Telephone Number : 251-343-5004
Fax Number : 251-343-5136
Provider Business Practice Location Address
First Line : 124 S UNIVERSITY BLVD STE A
Second Line :
City : MOBILE
State : AL
Zip : 36608-3078
Country : US
Telephone Number : 251-343-5004
Fax Number : 251-343-5136
Authorized Official
Title or Position : CEO
Name : DAVID SWEET
Credential :
Telephone Number : 251-300-6969
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/15/2021

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