| NPI | 1831597533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT PEYTON WALKER Physician/Sole Proprietor 205-967-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 10530) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |