NPI | 1013409770 |
---|---|
Doing Business As | GLENEAGLES FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID TRAYNOR M.D./Owner 256-881-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-05-30 |