Provider First Line Business Practice Location Address:
4984 MEADOW BROOK RD
Provider Second Line Business Practice Location Address:
MEADOW BROOK BAPTIST CHURCH
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35242-3133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-669-3225
Provider Business Practice Location Address Fax Number:
205-669-5259
Provider Enumeration Date:
02/15/2007