| NPI | 1972278232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE M LINDELL Owner 256-515-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-11-12 |