| NPI | 1902645021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CROCKER MITCHELL Owner, Pediatrician 334-790-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |