NPI | 1013465988 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN LOVELADY Office Manager 205-454-3926 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AL 11421) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |