NPI | 1104175512 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY BRIAN ROBERTS Pyhsician/ President 256-881-1989 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 15274) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2012-08-30 |