| NPI | 1639996192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL YEBOAH CEO 205-929-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0800X Clinic/Center Recovery Care | |
| 305S00000X Point of Service | |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-14 |