| NPI | 1659518553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE S GRAHAM Clinical Director 256-432-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1105407) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2023-05-23 |