Provider First Line Business Practice Location Address:
2936 HIGHWAY 237
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHIL CAMPBELL
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-993-4123
Provider Business Practice Location Address Fax Number:
205-993-5181
Provider Enumeration Date:
10/13/2006