| NPI | 1962511600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L CLIFTON Owner 256-891-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00025564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 0025564) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-08-14 |