NPI | 1407339328 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI S POWERS CEO 256-973-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL RN1-151783) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2024-10-24 |