NPI | 1174602080 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA WARREN Office Manager 334-284-2355 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 24720) |
Additional Taxonomies | 174400000X Specialist (Licence: AL 17893) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |