| NPI | 1114034501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A MOORE Insurance Clerk 334-636-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 00003627) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-04-20 |