| NPI | 1497593925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Rcm Manager 205-919-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |