| NPI | 1679854269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID BLANKENSHIP Family Physician 256-683-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO 630) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2012-07-20 |