| NPI | 1992914238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON CARTER CFO 256-265-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-01 |