| NPI | 1609893445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PAUL KAJDOS COO 205-988-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-055040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-022229) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN1171) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097558) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-055956) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN1282) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APRN11) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-098736) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-053893) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-036797) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-040024) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-037793) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-094910) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-095779) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-061723) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |