NPI | 1073238747 |
---|---|
Entity Type | Organization |
Authorized Contact | FAROUK A RAQUIB Owner/ Md 205-487-4535 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2022-10-05 |
Last Update Date | 2024-03-07 |