| NPI | 1396498853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E SPARKS C RN P/Owner 205-442-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-05-26 |