| NPI | 1730036716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN ELISABETH HARDEMAN Physician 256-581-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |