| NPI | 1568419810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM R HENDRICKS Co Owner/Physician 256-301-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 26531) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-07-29 |