| NPI | 1083955173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ATA Owner 256-451-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2025-01-07 |