Provider First Line Business Practice Location Address:
2541 UNIVERSITY HOSPITAL
Provider Second Line Business Practice Location Address:
MCI 3052
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-445-9895
Provider Business Practice Location Address Fax Number:
251-460-6994
Provider Enumeration Date:
04/06/2026