| NPI | 1891120614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE PIGG Credentialing Specialist 256-519-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |