NPI | 1780992891 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY W PERRY Physician/Owner 256-546-1445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 25920) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AL 25932) |
Enumeration Date | 2010-09-23 |
Last Update Date | 2023-09-06 |