| NPI | 1164794327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL N. FERRELL Owner 205-427-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: AL 1475) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-21 |