| NPI | 1528075447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY P WINDHAM Office Administrator 334-702-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: AL 00025142) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |