| NPI | 1962513788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LATHRAM Administrator 256-560-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 12143) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-08-09 |