| NPI | 1700897816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM YORK Billing And Credentialing 205-854-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 207ri0200x) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-06-20 |