NPI | 1902060775 |
---|---|
Entity Type | Organization |
Authorized Contact | AFOLABI IDOWU Medical Director 256-325-2772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL MD27646) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2008-07-11 |