| NPI | 1518570068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WELCH AO 205-563-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2021-12-14 |