| NPI | 1285033787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN FRANCES MCFADDEN Sole Owner 205-792-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.10969) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-10-27 |