| NPI | 1770195737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA P FLETCHER Executive Director 205-914-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |