| NPI | 1013507680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JOHNSON WHITFIELD Owner 256-686-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-08-13 |