NPI | 1013126937 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY SCOTT GREER Owner 334-887-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: AL 00023858) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-08-15 |