| NPI | 1447823877 |
|---|---|
| Doing Business As | ENTERPRISE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | GINA TOLAR Insurance & Collections Supervisor 334-793-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |