| NPI | 1871924357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNIETH C MCCOLLOUGH Owner 256-245-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.29754) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |