| NPI | 1386210235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD WADE Manager 256-237-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |