| NPI | 1225117047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRYAN WAITS President 205-926-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 25230) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |