| NPI | 1477661056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY W BRADLEY Billing Manager 205-591-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 00011222) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL 00016988) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-04-28 |