| NPI | 1770921280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI ANN BALLARD RN/Office Manager 205-487-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 31218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 31218) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2018-04-16 |