| NPI | 1295147106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY JOHANSEN President 205-403-8902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-04-24 |