| NPI | 1528233103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMENDA NOEL BLAKENEY Md 334-272-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 22059) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |