| NPI | 1063518272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A COST Physician/Owner 256-489-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: AL 94133) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-01-24 |