| NPI | 1356892756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE C ROWE CEO 256-492-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 152W00000X Optometrist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |