| NPI | 1184376071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAITES Member 334-322-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2025-03-19 |