| NPI | 1932137924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTE CRAWFORD Office Manager 205-747-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00015124) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-06-07 |