| NPI | 1063679496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMENDA NOEL BLAKENEY Md/Acting Office Manager 334-272-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 22059) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |