| NPI | 1568240117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BRASHER Director Of Credentialing Services 205-271-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-08-01 |