NPI | 1679168421 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA COX Credentialing Specialist 205-246-5690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |