| NPI | 1871844134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE ANN WALKER Owner 334-724-0550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AL 11822) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |