Provider First Line Business Practice Location Address:
750 5TH AVE E
Provider Second Line Business Practice Location Address:
UA STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
TUSCALOOSA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35401-7421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-348-6262
Provider Business Practice Location Address Fax Number:
205-648-8611
Provider Enumeration Date:
05/09/2008