NPI | 1033318217 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE A TUBBS Administrator 256-508-7509 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-07-17 |
Last Update Date | 2024-07-28 |