| NPI | 1639103666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE FRANCES DUFOUR Physician Credentialer 256-704-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-09-11 |