| NPI | 1982230876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON CARTER CFO 256-265-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-06-30 |