| NPI | 1992096440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA W REEVES Administrator 334-793-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 30759) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |