NPI | 1497992804 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES LOWELL MCGUIRE President 256-389-8250 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 2254) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2022-12-29 |