| NPI | 1982016820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY JOHANSEN President 205-421-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2025-03-27 |