| NPI | 1114367604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R KINGSLEY President & Owner 205-823-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 443871) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |