| NPI | 1326590530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAYMOND President 256-997-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD08891R) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |