| NPI | 1154505386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONOWSKY DEMEL COLEMAN Owner/Medical Director 205-296-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 00024899) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |