NPI | 1538541834 |
---|---|
Entity Type | Organization |
Authorized Contact | JESS YOUNGBLOOD Owner/Medical Director 256-960-9906 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-06-23 |
Last Update Date | 2024-01-30 |