| NPI | 1831353846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLANLE O. GBADEBO Owner 205-295-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL Medicaid 102173) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-21 |