| NPI | 1891359683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON CARTER CFO 256-265-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2022-06-30 |