| NPI | 1952158909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Revenue Cycle Manager 205-919-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |