Provider First Line Business Practice Location Address:
4208 B EVA RD
Provider Second Line Business Practice Location Address:
EVA HEALTH CENTER
Provider Business Practice Location Address City Name:
EVA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-796-5260
Provider Business Practice Location Address Fax Number:
256-796-4639
Provider Enumeration Date:
10/03/2005