| NPI | 1558894576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC SHANNON Owner/CEO 205-478-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-02-27 |