| NPI | 1346490604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C BYRD Insurance 334-793-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 7921) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 13944) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-10-09 |