| NPI | 1124257209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA L. VINSON Np/President 334-222-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL DO833) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1061816) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |