| NPI | 1871795542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY W BOWLIN Nursr Practitioner 256-458-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-056721) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-04-12 |