NPI | 1548337298 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J MCLAURY Physicain 205-384-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL AL15097) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |