| Organization Name: | ALEX CITY INTERNAL MEDICINE & NEPHROLOGY |
| NPI Number: | 1427188119 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIMTCHO V POPOV (PHYSICIAN OWNER) |
| Mailing Address: | 3368 Highway 280 Suite 220 Alexander City |
| State: | AL US |
| Postal Code: | 350103393 |
| Phone Number: | 2564091500 |
| Fax Number: | 2564091144 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 10/29/2007 |
| NPI Reactivation Date: | 05/05/2014 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 20515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy 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. |