| NPI | 1609696079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON CARTER CFO 256-265-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-11-06 |