| NPI | 1780434050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KENDALL Owner 334-294-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |