| NPI | 1881238632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANNE BLACKWELL Authorized Official 205-824-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |