| NPI | 1194138305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA KATHRYNE EZELL Nurse 256-883-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 1-127404) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |