| NPI | 1396035101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. TOLE Physician 334-528-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL DO.1138) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2021-06-30 |