| NPI | 1407210925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY CURRY Credentialing Supervisor 256-801-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-06-30 |