| NPI | 1740652346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN TIDWELL Nurse Practitioner 205-975-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AL 1-124189) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |