| NPI | 1437626868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA L BOOTHE Owner 205-792-6701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-02-19 |