| NPI | 1023101698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S TATUM Partner 334-365-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 2828) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |