Provider First Line Business Practice Location Address:
6129 SCOTTSBORO HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSBORO
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35769-9336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-860-0485
Provider Business Practice Location Address Fax Number:
256-371-5631
Provider Enumeration Date:
01/07/2026