| NPI | 1811249170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L REEVES Owner/President 334-213-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 10228) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |