| NPI | 1881743128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDELLYN LEWELLYN MCLEAN President 205-879-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 00004159) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-03-07 |