| NPI | 1902832447 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | RICK M ROBERTS Owner 256-536-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 094320) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-04-08 |