| NPI | 1912287749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FRANKLIN CROCKETT Physician 256-764-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AL 8871) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |