| NPI | 1831718535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D HODGES Board Member 256-594-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-05-11 |