| NPI | 1316101769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CLAY CONVILLE Corp Director, Physician Services 205-759-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-11-03 |