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 |