| NPI | 1013136118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DIANE JOHNSON Office Manager 256-265-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: AL 3416) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-07-31 |