| NPI | 1578863213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BALLARD-MONTGOMERY President 205-938-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 20185) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-08-01 |