| NPI | 1891786315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HELMER Practice Administrator 334-263-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 000050198) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-01-13 |