| NPI | 1033363254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDRA MCCARTHY Office Manager 334-756-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 15576) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2018-06-21 |