| NPI | 1952472607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER J COLEMAN Medical Director President 334-567-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 14136) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |