Provider First Line Business Practice Location Address:
1000 ADAMS AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PODIATRIC MEDICINE AND SURGERY
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36104-4424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-420-5001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2009