| NPI | 1760728455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA WYATT CEO 334-493-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2021-01-14 |