NPI | 1518330414 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY FARRELL SMALLWOOD Nurse Practitioner 256-998-5120 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-088147) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2024-02-29 |