| NPI | 1982907473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON FRAZIER President 256-650-0724 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2019-07-10 |