| NPI | 1043340284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN A MCCLELLAND President 205-663-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00008566) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 00008566) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |