| NPI | 1437206885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RAYMOND BRANDT Owner 334-774-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AL 16264) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-06-14 |