| NPI | 1245430495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRUCE WILLIAMS President 256-734-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 22878) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |