| NPI | 1457411043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAKELY ISBELL President 256-845-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-01-17 |