NPI | 1649350646 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE F STEPHENS Practice Administrator 205-295-4106 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 8390) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-03-08 |