| NPI | 1851685150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH B MANCHA Vice President 334-300-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 14167) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2014-11-19 |