Provider First Line Business Practice Location Address:
1 HOSPITAL DRIVE SE
Provider Second Line Business Practice Location Address:
CRESTWOOD HOSPITAL
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-429-5196
Provider Business Practice Location Address Fax Number:
256-429-4573
Provider Enumeration Date:
03/02/2007