| NPI | 1275840779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY MIKE MYERS CFO 334-670-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 174400000X Specialist | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-12-03 |