| NPI | 1609262823 |
|---|---|
| Former Legal Business Name | PPCS |
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH PARKS Nurse Practitioner 334-333-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13235) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2023-09-22 |