| NPI | 1285263806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN AMBER STONE President 256-280-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 101YM0800X Counselor, Mental Health | |
| 133N00000X Nutritionist | |
| 174N00000X Lactation Consultant, Non-RN | |
| 176B00000X Midwife | |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |