| NPI | 1518359025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE F SMITH Office Manager 205-467-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 14740) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 9924) |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |