| NPI | 1528445566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE PATTILLO Owner 205-936-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 1-054204) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |