| NPI | 1053093682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTON CALLEN WALLS Owner 334-539-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-04-03 |