| NPI | 1508947839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PARDEN Practice Manager 256-650-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-04-06 |