| NPI | 1801072673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REX PAYNE President 205-838-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AL MD.6700) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-08-18 |