| NPI | 1891776050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE HINSON Office Manager 334-874-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-01-25 |