| NPI | 1215926993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE D HOWE Medical Director 205-750-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AL U6303) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AL 10452) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2013-04-18 |