| NPI | 1134106065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BERRY SOWELL CEO 334-793-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 207QS0010X Family Medicine Sports Medicine | |
| 225X00000X Occupational Therapist | |
| 207P00000X Emergency Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-08-06 |