| NPI | 1104958933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R HALL Business Manager 256-882-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL C70324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087797) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-060554) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-04-18 |