| NPI | 1306036165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RICARDO WARE President Owner 256-546-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 09296) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |