| NPI | 1275842130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE R. MCINNIS Nurse Practitioner 334-297-0251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-017420) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |