| NPI | 1356464036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILATRA AWONIYI Office Manager 256-353-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: AL 9604) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 3912) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-09-18 |