| NPI | 1780123109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL PHILLIPS President 334-270-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL -148444) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-20 |