| 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 |