| NPI | 1689922205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHIE JORDAN Physician Owner 334-297-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |