| NPI | 1801161138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI ANNE CAMERON Asst. Office Manager 334-287-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL AD7121724) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |