| NPI | 1124328745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A GOODEN Owner/Physician 205-535-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AL 27029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 27029) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |