| NPI | 1467788463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA W REEVES Administrator 334-793-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |