| NPI | 1427566181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HUBBARD FULLER CEO 256-646-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.1762) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-29 |