NPI | 1194092478 |
---|---|
Doing Business As | CRENSHAW FAMILY CARE CENTER |
Entity Type | Organization |
Authorized Contact | VICKI F LAWRENSON COO 334-386-0343 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2011-11-30 |
Last Update Date | 2012-06-07 |