| NPI | 1477162576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAWTHORNE Practice Manager 205-292-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2021-08-12 |