| NPI | 1376978007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WILLIAM MANIFOLD President 256-318-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |