| NPI | 1689967903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIESL BITTNER Director Of Practice Management 205-930-2346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |