| NPI | 1407257447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CODY LONG Vice President/CFO 205-391-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-02-24 |