| NPI | 1255417598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY VARIE HADDOCK Credentials Specialist 256-766-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 23786) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2008-04-29 |