| NPI | 1578331914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA GODSEY Managing Partner 205-712-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-09-12 |