| NPI | 1790987238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L TRIMNEL Administrator 334-793-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 207RC0000X) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2010-12-01 |