| NPI | 1184131690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC MELTON Member/CEO 205-540-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL F09170932) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-03-17 |