NPI | 1578804522 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L REEVES President/Owner 334-213-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 10228) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2013-03-14 |