| NPI | 1609194141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS P DAVIS Physician 334-446-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 29606) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL 29606) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2013-10-08 |