| NPI | 1750495156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA H RUSSELL Office Manager 256-740-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-05-18 |