| NPI | 1558731067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY TACTUK ROMANENKO Physician 205-349-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 31064) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2018-08-15 |