| NPI | 1093753600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAY CUNNINGHAM President 256-272-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL DO929) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-11-17 |