| NPI | 1861724569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E DYER Physician 256-799-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 22942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00022942) |
| 207Q00000X Family Medicine (Licence: GA 057362) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |