NPI | 1316158660 |
---|---|
Doing Business As | FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | PAMELA S BIERLAIR Asst Office Manager 334-271-4503 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00017969) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 00005590) |
207R00000X Internal Medicine (Licence: AL 00017969) | |
207R00000X Internal Medicine (Licence: AL 00019309) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |