| NPI | 1255466330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD T PYNES Owner 334-793-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-02-08 |