NPI | 1891064937 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN STONE BARRETT Office Manager 334-396-8774 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 10825) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2012-12-19 |