| NPI | 1912270521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHALMERS PETERSON President/Owner 256-546-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 3113) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |