| NPI | 1528071149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK MORRING BEEM Administrator 205-344-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 200602249) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 200602249) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |