| NPI | 1174719736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FLEMING Area Branch Manager 205-988-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 1077717) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |