| NPI | 1720680796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHANG Employee 256-603-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207VB0002X Obstetrics & Gynecology, Bariatric Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1100X Clinic/Center, Research | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |