| NPI | 1538345889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JACKSON Business Office Manager 334-260-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 9747) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |