NPI | 1558497016 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GREGORY SULLIVAN Physician 205-815-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 11351) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 11133) |
207Q00000X Family Medicine (Licence: AL 15983) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2014-09-23 |