| NPI | 1588141063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CLAY CONVILLE Corp Director Physician Services 205-759-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-10-08 |