| NPI | 1326220351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WOOD Billing Manager 334-501-4424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 00023033) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-02-06 |