| NPI | 1497817605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HOGUE Administrator 205-248-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 01C0001041) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-06-25 |