| NPI | 1487704540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BAILEY POOL Owner 256-262-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 18295) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-087387) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-02-15 |