| NPI | 1801941562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM C GILL Practice Administrator 256-265-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |