| NPI | 1114910205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DURROUGH Insurance Clerk 205-349-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 21385) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |