| NPI | 1609879220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA JOCHUM HICE Director, Physician Practices 256-736-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 208M00000X Hospitalist | |
| 207L00000X Anesthesiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-08-04 |