| NPI | 1609959261 |
|---|---|
| Doing Business As | PRI MED WETUMPKA |
| Entity Type | Organization |
| Authorized Contact | HEIDE GARNER COOK COO 334-386-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |