| NPI | 1679839328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E PITTS Owner/Provider 256-883-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 13214) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-10-31 |