Provider First Line Business Practice Location Address:
3 MOBILE INFIRMARY CIR STE 213
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36607-3514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-438-4200
Provider Business Practice Location Address Fax Number:
251-438-4211
Provider Enumeration Date:
08/30/2006