NPI | 1811051527 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI CALHOUN Practice Manager 256-549-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 00010206) |
Additional Taxonomies | 174400000X Specialist (Licence: AL 00019952) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2010-09-28 |