| NPI | 1467818575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WILLIAMS CFO 205-838-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-09-06 |