| NPI | 1689738940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SHARP Billing Office Manager 205-620-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 10246) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 16393) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 16369) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 13862) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 1059725) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-05-07 |