| NPI | 1760447510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY SNIDER Administrator 256-237-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2025-03-24 |