| NPI | 1891766762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH DAFFIN Administrator 334-612-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL 16678) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |