| NPI | 1225140486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE SANDLIN Physician Assistant 256-265-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: AL PA448) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-05-19 |