| NPI | 1003141649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DARLENE ELLIOTT Physician 334-356-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 12289) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |