| NPI | 1164767083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASANK RAHEEL PERAMSETTY Medical Director 205-349-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2025-03-11 |