| NPI | 1871031948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID TAYLOR Owner 256-574-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL R-229-TA-987) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-07-02 |