| NPI | 1134172604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WEATHERS Manager 334-425-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-05-08 |