| NPI | 1194556118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HOVEY Director 334-803-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-09-05 |