| NPI | 1194546986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY P DUGGER Organizer 334-343-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-12-20 |