| NPI | 1891989117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL STANFIELD President 334-493-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 21062) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 21063) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |