| NPI | 1598901373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHTISHAM R KHAN Manager 256-714-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AL 19019) |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2009-08-14 |