| NPI | 1730075128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA TATE Authorized Official 256-658-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |