| NPI | 1033554357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD EJAZ ATA Owner 256-451-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-07-16 |