| NPI | 1710936547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATHEW Owner/Physician 256-773-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00026288) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-12-09 |