| NPI | 1033166178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANDA JO PALMER Accounts Manager 256-534-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 23539) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |