| NPI | 1376737528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L CASSELBERRY President / Physician 334-705-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AL 132) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-07-14 |