| NPI | 1043577372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V JOLENE ETHRIDGE Pediatric Nurse Practitioner 205-939-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: AL 1-060689) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |