| NPI | 1902835655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID HENSLEIGH Physician/Owner 256-354-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 9297) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-02-12 |