| NPI | 1245546993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX MILLER Billing Manager 256-562-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AL 12284) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |