| NPI | 1114355120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HEDRICK Administrator 256-880-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-109897) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2019-09-10 |