| NPI | 1801986807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH DAVIS Chairman, Board Of Directors 205-853-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00012531) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-10-27 |