| NPI | 1700214939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L BROOKS Office Manager 205-939-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 4181) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |