| NPI | 1366119802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE SMITH Owner 256-339-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-01-17 |