| NPI | 1568806453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B SMITH Principal Accountant 205-930-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |