Provider First Line Business Practice Location Address:
1504 SPRINGHILL AVE
Provider Second Line Business Practice Location Address:
MOBILE OUTPATIENT CLINIC
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-219-3900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2006