ROSS CLARK CIRCLE DIALYSIS LLC NPI 1003070285

NPI Information

ROSS CLARK CIRCLE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Dothan, AL. ROSS CLARK CIRCLE DIALYSIS LLC NPI is 1003070285. The provider is registered as an organization entity type.
The provider Is Doing Business As Wiregrass Kidney Center.

The provider's business location address is:

1450 ROSS CLARK CIR
STE 200
DOTHAN, AL
ZIP 36301-770
Phone: (334) 792-8907
Fax: (334) 792-8912

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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