NPI | 1215169131 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A JUST Owner 256-547-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 19952) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2009-08-11 |