| NPI | 1982763165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CHARLES ANDERSON Physician 256-539-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL DO-250) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-12-11 |