| NPI | 1093047508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY TARBOX WHITE President 256-658-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AL 15930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 15930) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |