| NPI | 1780980540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD EVERETT MATHIS Delegated Official 205-621-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 27369) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-09-19 |