| NPI | 1619401965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI POWERS CFO 256-265-8874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |