NPI | 1205893732 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANETTE KEENER Billing Manager 256-547-6331 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2006-04-27 |
Last Update Date | 2011-08-17 |