| NPI | 1750837068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R GRANA President 256-429-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2019-12-05 |