| NPI | 1922272624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PRICE CFO 334-528-3008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RS0010X Internal Medicine Sports Medicine | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2013-11-01 |