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 |