| NPI | 1083985519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA GIBSON LOWTHER Physician/CEO 205-343-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 26476) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics (Licence: AL 26476) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2014-04-21 |