| NPI | 1194905075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LE ANN THRASH Owner/Physician 256-638-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1093350) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-09-05 |