| NPI | 1619311024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA PAIGE ALLEN Office Manager 256-582-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 9278) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |