| NPI | 1750707824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA TEBBEN Office Manager 256-612-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2025-02-10 |