| NPI | 1639709769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA COX Credentialing 205-208-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2021-06-01 |