Provider First Line Business Practice Location Address:
532 MADISON ST SE
Provider Second Line Business Practice Location Address:
C/O PEAK CLINIC FOR FAMILY MEDICINE
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-4205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-508-0214
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2009