| NPI | 1154606861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI F LAWRENSON Member/Manager 334-386-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2012-06-07 |