NPI | 1013199876 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA H. FERGUSON Owner 334-244-5061 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 25540) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |