| NPI | 1962706960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG DEWBERRY CEO / Administrator 334-756-1428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD8463) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |