| NPI | 1174605992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MASON Director Of Physicians Network 256-265-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |