West Alabama Nephrology, Pc in Northport - Specialist
West Alabama Nephrology, Pc - NPI 1225197197
West Alabama Nephrology, Pc is a Specialist in Northport, Alabama. West Alabama Nephrology, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for West Alabama Nephrology, Pc is 1225197197. The last update date is 2015-05-13.
West Alabama Nephrology, Pc's current location address is 4400 Watermelon Rd, Northport, Alabama. You can contact this provider via phone number 2053456302 and fax number 2052474300. The mailing address for West Alabama Nephrology, Pc is 4400 Watermelon Rd, Northport, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Alabama Nephrology, Pc |
|---|---|
| Address | 4400 Watermelon Rd, Northport, Alabama |
| Phone Number | 2053456302 |
| Fax Number | 2052474300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Alilonu N Geoffrey |
| Credentials | M.D. |
| Telephone Number | 2053456302 |
NPI Number Detail
| NPI Number | 1225197197 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2015-05-13 |
Provider Mailing Address Detail
| Address | 4400 Watermelon Rd |
|---|---|
| City | Northport |
| State | Alabama (AL) |
| Post Code | 354735204 |
| Phone Number | 2053456302 |
| Fax Number | 2052474300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9748 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103380 | AL | -- | |
| 28996 | AL | AL LICENSE | |
| 51591962 | AL | BCBS NUMBER | |
| 37267 | AL | -- | |
| 51037267 | AL | BCBS | |
| 529603880 | AL | -- | |
| 9748 | AL | AL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to West Alabama Nephrology, Pc by the Centers for Medicare & Medicaid Services?
The West Alabama Nephrology, Pc has been assigned the NPI (National Provider Identifier) 1225197197 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where West Alabama Nephrology, Pc is physically located?
The West Alabama Nephrology, Pc is situated at the following address: 4400 Watermelon Rd, Northport, AL 354735204.
What is West Alabama Nephrology, Pc's area of expertise and its corresponding taxonomy classification?
The West Alabama Nephrology, Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did West Alabama Nephrology, Pc receive its 1225197197 assignment?
The West Alabama Nephrology, Pc was assigned its 1225197197 on 2006-12-07, which is the date when this unique identifier was issued to the organization.
As of what date were the West Alabama Nephrology, Pc's details last updated?
The information pertaining to the West Alabama Nephrology, Pc, including its address, specialty, and other details, was most recently updated on 2015-05-13.