NPI | 1780062380 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY JOHANSEN President 205-403-8902 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2023-02-20 |