| NPI | 1962082677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B COOPER Manager 334-298-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2022-06-14 |