| NPI | 1639514250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GRIDER Physician Services Director 256-218-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL MD32359) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2022-02-15 |