| NPI | 1982351235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN G HOVEY Owner 334-276-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-06-26 |