| NPI | 1003346982 |
|---|---|
| Former Legal Business Name | GSFH, PC TYPE II |
| Entity Type | Organization |
| Authorized Contact | ELAINE A TUBBS Administrator 256-508-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-07-30 |