| NPI | 1497135347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE JONES Manager 334-329-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 19629) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 19629) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-08-14 |