| NPI | 1851652416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEANN LANDRUM CEO 256-355-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-093034) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-07-19 |