NPI | 1245389303 |
---|---|
Doing Business As | SAMC SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | DEBORAH S WOODHAM Contract Manager 334-793-8087 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS12208) |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2016-03-08 |