| NPI | 1982205753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ANN BEAMS Billing 205-828-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2022-03-02 |