| NPI | 1205861200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RYAN MCWHORTER Md/Owner 334-819-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 19380) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-03-16 |