| NPI | 1477741445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE INGRAM Administrator 205-592-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |