| NPI | 1154385144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN MILLWARD Asst Office Manager 256-837-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 17202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 13868) |
| 207P00000X Emergency Medicine (Licence: AL 17202) | |
| 207Q00000X Family Medicine (Licence: AL 13868) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-05-06 |