| NPI | 1619214517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKE C ANIUKWU Manager 256-468-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 054287) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-25 |