| NPI | 1750740684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JABLONSKY RN Fa 205-250-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN220938) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |