NPI | 1295978559 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SCOTT ROYSTER Owner & Physician 256-430-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 13590) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2009-04-15 |