| NPI | 1821089244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWELL S HAMNER Medical Director 334-875-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301052071) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-08-22 |