| NPI | 1598079600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L HOLLEY Manager 205-486-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-069794) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-12-06 |