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 |