| NPI | 1265603724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID WHITLEY Owner 205-939-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 21035) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |