| NPI | 1780376970 |
|---|---|
| Doing Business As | CEDAR STREET MEDICAL |
| Entity Type | Organization |
| Authorized Contact | LORI A HENRY Owner 256-338-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |