Provider First Line Business Practice Location Address: 
1600 7TH AVE S
    Provider Second Line Business Practice Location Address: 
HEART TRANSPLANT SERVICES
    Provider Business Practice Location Address City Name: 
BIRMINGHAM
    Provider Business Practice Location Address State Name: 
AL
    Provider Business Practice Location Address Postal Code: 
35233-1711
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
205-638-3333
    Provider Business Practice Location Address Fax Number: 
205-638-6095
    Provider Enumeration Date: 
11/22/2011