| 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 |