| NPI | 1912978792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TRAYWICK Office Manager 334-834-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 20155) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 20155) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |