| NPI | 1306280490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISITNE PIGG Credentialing Supervisor 256-519-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |