| NPI | 1265687818 |
|---|---|
| Doing Business As | BEAUREGARD CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTIN ROACH Owner/Md 334-737-5557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL DO866) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2023-11-15 |