| NPI | 1740276617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNARD LEVI ADAMS Medical Doctor 334-264-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 10658) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |