| NPI | 1649738030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALISIA VALENTINE Director Of Physician Extenders 205-421-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |