| NPI | 1639234982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE E WAMPLER President 256-272-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-06-11 |