| NPI | 1053410480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HOLMAN Office Administrator 334-794-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-02-01 |