| NPI | 1013318070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA BLAKELY Owner/Nurse Practitioner 205-640-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1124159) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-03-23 |