NPI | 1710398441 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLBON B. BATES Owner/Physician 256-438-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00015056) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-05-15 |