| NPI | 1336686286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL NANCE Operational Manager 205-991-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 14336) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |