| NPI | 1639503055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN VAUGHN Owner/Administrator 256-310-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 22943) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |