| NPI | 1356369755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN KELLY Administrator 256-319-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 10441) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-03 |