| NPI | 1154537553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A JOHNSON Insurance Clerk 256-880-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: AL 9080) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |