| NPI | 1235410556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLARD HENRY MCWHORTER Owner/Physician 334-222-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 12674) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |