| NPI | 1902111560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE BURRELL Physician/Member 256-325-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 27889) |
| Enumeration Date | 2010-08-07 |
| Last Update Date | 2010-08-07 |