| NPI | 1306310909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRAHAM Owner 205-425-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-10-28 |