| NPI | 1922029263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY W MAGOUIRK President/CEO 205-932-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00010435) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2013-02-15 |