| NPI | 1457667750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA DRODDY COO 205-478-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 41583) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: AZ 0523) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2023-02-10 |