| NPI | 1598645426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI L VINES Owner 334-734-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 291U00000X Clinical Medical Laboratory | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |