| NPI | 1962585422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MANEICE PAUL Rheumatologist 334-396-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 00015326) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |