NPI | 1972696540 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C RAYMOND M.D./President/Owner 256-997-9016 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 18125) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 21971) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-071430) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |