| NPI | 1184454795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE M MCGUIRE C RN P 256-203-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |