| NPI | 1396305579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER E NICHOLLS Medical Doctor 334-793-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |