| NPI | 1447664339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNA ALLADA Resident Physician 256-701-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL L3441R) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |