| NPI | 1730181819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID NORRELL Clinic Administrator 334-382-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 6791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO343) |
| 208000000X Pediatrics (Licence: AL 14435) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-22 |