| NPI | 1316668403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY CAMILLE CARTER Nurse Practitioner/Owner 334-505-0873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |