| NPI | 1639561244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ROSEMORE President 205-514-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO159) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2020-05-22 |