NPI | 1952483729 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH PENNINGTON CEO 205-481-7102 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AL 12816) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2017-10-18 |