| NPI | 1043734619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B BOLEN Administrator 205-515-4217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-03-17 |