| NPI | 1538599071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER J LAWRENCE Md 334-475-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 25503) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: AL 25503) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2022-07-21 |