| NPI | 1164505707 |
|---|---|
| Doing Business As | PRI MED VAUGHN ROAD |
| Entity Type | Organization |
| Authorized Contact | HEIDE GARNER COOK COO 334-386-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-08-07 |