| NPI | 1497821847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R BRADFORD President 256-259-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00007481) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |