| NPI | 1477068468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRAGG CALDWELL Physician 256-614-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 32665) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2022-03-16 |