NPI | 1194811901 |
---|---|
Doing Business As | CRENSHAW FAMILY CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDREW KIMBRO Authorized Official 334-335-3374 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-07-20 |