| NPI | 1871863050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERNAN ONEILL Office Manager 256-772-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 16894) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |