| NPI | 1124764337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CONNELL GRAY Owner/Physician 205-234-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |