NPI | 1659890846 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY CHARLES BATSON Md 256-704-7325 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 23754) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-087946) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2022-06-08 |