NPI | 1134506058 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY JOHANSEN President 205-421-2101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208D00000X General Practice | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2015-04-29 |
Last Update Date | 2023-02-20 |