Provider First Line Business Practice Location Address:
JEFFERSON METROCARE HEALTH CENTER
Provider Second Line Business Practice Location Address:
2101 DANIEL PAYNE DRIVE
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35214-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-791-4718
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2005