NPI | 1275622870 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUISE G KELLY Office Administrator 205-838-3066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 3914) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |