| NPI | 1821671041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSE T GREEN Operations And Billing Coordinator 256-849-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-12-08 |