| NPI | 1881095560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GWINN Business Consultant 334-303-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-049268) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-11-19 |