| NPI | 1891057543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HORNBUCKLE President 256-489-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X (Licence: AL 09094) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: AL 09094) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |