Provider First Line Business Practice Location Address:
1515 6TH AVE SOUTH
Provider Second Line Business Practice Location Address:
COOPER GREEN HOSPITAL
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-918-2352
Provider Business Practice Location Address Fax Number:
205-930-3648
Provider Enumeration Date:
03/26/2007