| NPI | 1447269089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALAN OGLES Owner/Physician 256-354-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 000022026) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |