| NPI | 1619026606 |
|---|---|
| Doing Business As | SAMC-ENTERPRISE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL S FOSTER Contract Manager 334-793-8087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-11-01 |