NPI | 1205484326 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WESLEY HAMILTON President 256-284-7706 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2019-09-02 |
Last Update Date | 2025-06-18 |