| NPI | 1770532681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI BERRY Office Manager 334-260-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL 00006213) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-04-15 |