| NPI | 1992970685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SILLERS Owner/Director/Physician 205-980-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 14772) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2012-02-21 |