| NPI | 1407266729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PRECISE HAMILTON Managing Member 256-599-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 6022) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |