| NPI | 1114141744 |
|---|---|
| Doing Business As | HERITAGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY G MANCUSO CFO 256-990-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00015990) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-12-07 |