| NPI | 1063575363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMALA MADATHIKUNNEL Office Manager 334-872-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00019370) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-12-10 |