| NPI | 1205340460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK BROWN Member 205-253-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-03-17 |