| NPI | 1093939894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN RIVES Clinical Manager 205-871-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL AL16730) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |