| NPI | 1972693778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONAVON L. WEWERS President 334-794-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00024467) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-01-21 |