| NPI | 1912068354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY JONES Billing Administrator 256-506-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 15304) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-11-03 |