| NPI | 1588726616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD ROGERS Owner/Vice President 334-745-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 7477) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-01-21 |