| 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 |