| NPI | 1063511079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M DEWITT President 205-502-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: AL AL19324) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-04-30 |