| NPI | 1053302497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE P RONK Practice Manager 205-838-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-05-01 |