Provider First Line Business Practice Location Address:
700 19TH ST S
Provider Second Line Business Practice Location Address:
BIRMINGHAM VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35233-1927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-492-4290
Provider Business Practice Location Address Fax Number:
205-428-9240
Provider Enumeration Date:
12/21/2009