| NPI | 1407283625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GLEN CROWE President/Owner 334-528-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 22312) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |