| NPI | 1841494515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FAGIN Owner 334-528-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: AL 27896) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |