| NPI | 1356865216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RANDALL BURNS Md/Owner 256-520-1841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |