| NPI | 1841346236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY WRIGHT Executive Director 256-428-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00013907) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL AL20179) |
| 207Q00000X Family Medicine (Licence: AL 00024214) | |
| 207Q00000X Family Medicine (Licence: AL 00024811) | |
| 207Y00000X Otolaryngology (Licence: AL 00006853) | |
| 208000000X Pediatrics (Licence: AL 00024555) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1081456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1075048) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1094048) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |