| NPI | 1679692123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIDYN B BREEDLOVE Physician And Partner 205-978-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.18441) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |