Provider First Line Business Practice Location Address:
2000 PEPPERELL PARKWAY
Provider Second Line Business Practice Location Address:
EAST ALABAMA MEDICAL CENTER
Provider Business Practice Location Address City Name:
OPELIKA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-707-1271
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2006