| NPI | 1861754202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI F LAWRENSON COO 334-386-0343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363AM0700X Physician Assistant Medical | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |