| NPI | 1750728846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK E IFEDIBA Medical Director 205-929-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 19014) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-08-09 |