| NPI | 1699194951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N/A WHITE CEO 251-432-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-08-30 |