| NPI | 1487063640 |
|---|---|
| Other Name | MMPHC |
| Entity Type | Organization |
| Authorized Contact | STACEY SANTIAGO Operations Manager 256-508-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R185090) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-06-19 |