| 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 |