| NPI | 1417372749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P BENTLEY Surgeon/President 334-284-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 12601) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 12411) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 14727) | |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 24023) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 12601) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 12411) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 14727) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 24023) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |