| NPI | 1740593284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE PIGG Credentialing Supervisor 256-519-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 1-106689) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-11-02 |