Provider First Line Business Practice Location Address:
CAVHCS 2400 HOSPITAL RD
Provider Second Line Business Practice Location Address:
DM CLINIC
Provider Business Practice Location Address City Name:
TUSKEGEE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-727-0550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2006