| NPI | 1750883690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBRINA B HOLT Executive Director 256-216-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-01-05 |