| NPI | 1508518002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN ALEXANDER O'MEARA-DATES Member/Chief Executive Officer 256-418-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |