| NPI | 1578087755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. WILSON Sole Member 205-383-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 26067) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-01-10 |