| NPI | 1386784007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS B RUSSELL President 256-533-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 15044) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |