| NPI | 1760896856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON CARTER CFO 256-265-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-06-30 |