Provider First Line Business Practice Location Address:
1912 ALABAMA HWY 157
Provider Second Line Business Practice Location Address:
CULLMAN REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
CULLMAN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35058-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-737-2637
Provider Business Practice Location Address Fax Number:
256-734-6257
Provider Enumeration Date:
11/30/2005