| NPI | 1841655172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MARIE HUBBARD Practice Manager 334-244-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 32228) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 33601) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |