Provider First Line Business Practice Location Address:
1201 7TH STREET SOUTHEAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35601-3303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-341-2000
Provider Business Practice Location Address Fax Number:
256-341-2648
Provider Enumeration Date:
12/31/2008