NPI | 1679738207 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES A WOOD President 334-566-0546 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 22881) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |