| NPI | 1831103837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M GOSSETT Administrator 205-814-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-02-07 |