| NPI | 1043851249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ELIZER Owner 256-684-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-11-02 |