| 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 | 2021-09-09 |