| NPI | 1104033208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P ELCOTT Owner 205-824-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-12-03 |