Provider First Line Business Practice Location Address:
50 MEDICAL PARK DR E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35235-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-838-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2014