| NPI | 1023464856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE W COBB Owner 334-356-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-06-27 |