NPI | 1053422105 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN DAVIS MCANALLEY President 256-386-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-055027) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-12-01 |