NPI | 1073567111 |
---|---|
Doing Business As | ANTHONY J KALLIATH MD |
Entity Type | Organization |
Authorized Contact | ANTHONY J KALLIATH Owner 256-760-0422 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AL AL14483) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2010-12-09 |