| NPI | 1922104389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL WALTON Billing 205-663-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 18153) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 6542) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-07-21 |