| NPI | 1003982208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENESHIA K DAVIS Administrative Assistant 205-333-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 8700) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |