| NPI | 1568620060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA J HALEY President 256-327-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 27081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 27651) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-01-16 |