| NPI | 1114113578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA A JONES Office Manager 334-678-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 13615) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2014-12-23 |