| NPI | 1518447622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESHA DONALDSON CFO 256-737-2598 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |