Provider First Line Business Practice Location Address:
2401 ARLINGTON AVE. SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35205-4113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-933-0041
Provider Business Practice Location Address Fax Number:
205-933-0146
Provider Enumeration Date:
01/08/2009