Provider First Line Business Practice Location Address:
890 ODUM RD
Provider Second Line Business Practice Location Address:
WAL-MART CHECK UP
Provider Business Practice Location Address City Name:
GARDENDALE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35071-4617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-631-8110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2007