| NPI | 1629274022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KELLY SULLIVAN Office Manager 205-424-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 8903) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |