| NPI | 1083643167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRANAV MISHRA President 256-891-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: AL 17527) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |