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 |