| NPI | 1659972743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI W SILLS Office Manager 205-939-0447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |