NPI | 1437464195 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY D GRIMES Audiologist, President 256-249-0943 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AL 892a) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2010-08-18 |