| NPI | 1346318474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE T STUBBLEFIELD Office Manager 256-232-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 20182) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 20182) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-05-20 |