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 |