| NPI | 1174643852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY E STIDHAM President 205-952-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1061751) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-11-10 |