Provider First Line Business Practice Location Address:
2006 BROOKWOOD MEDICAL CTR DR
Provider Second Line Business Practice Location Address:
WOMEN'S MEDICAL PLAZA SUITE 210
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-6899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-877-2966
Provider Business Practice Location Address Fax Number:
205-877-2852
Provider Enumeration Date:
12/21/2006