| NPI | 1982148862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY B FULGHAM Chief Operating Officer 251-343-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |