| NPI | 1073707907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN VAUGHN Administrator 256-650-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO645) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 7892) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |