| NPI | 1326580515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELICIA VANTERPOOL (HODGE) CEO 256-683-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-114022) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AL 1-114022) | |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2016-11-23 |