| NPI | 1366794208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DALE GLYMPH Physician/Owner 334-277-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AL 12216) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |