| NPI | 1457555690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE THOMAS HART Owner 256-386-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 7980) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |