| 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 |