NPI | 1114045275 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES ANDREW MULLINS President 256-880-6542 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO717) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |