NPI | 1144331356 |
---|---|
Doing Business As | BERRY FAMILY & OCCUPATIONAL MEDICINE |
Entity Type | Organization |
Authorized Contact | GARY MATTHEW FOWLER President 205-487-1586 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |