| NPI | 1558535096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOATWRIGHT HARRIS Owner/Physician 334-386-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 00019179) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2013-04-24 |