| NPI | 1003267899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIKH WAHIDUZZAMAN Manager/Owner 334-676-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 24787) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-10-31 |