| NPI | 1588790711 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARK LOCKE HODGES President 256-764-2801  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-036941)  | 
| Enumeration Date | 2007-02-23 | 
| Last Update Date | 2020-08-22 |