| NPI | 1295830891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA R COWART Physician/Owner 256-382-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 97264) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: AL 94689) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-02-26 |