| NPI | 1104202613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIESHA L CASH Billing Consultant 205-514-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-11-10 |