| NPI | 1528255601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGKUMA CALEB YONGKUMA Owner/Physician 334-222-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 8012) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-12-23 |