| NPI | 1437825742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PITTS Office Manager 334-828-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-03-23 |