| NPI | 1063668515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY S RISER Doctor 205-803-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 12139) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 12140) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |