| NPI | 1588178735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK BROWN Member 334-361-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 174400000X Specialist | |
| 208VP0000X | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2023-10-02 |