Provider First Line Business Practice Location Address:
STAFF OF LIFE MEDICAL CORP PC
Provider Second Line Business Practice Location Address:
1011 LEIGHTON AVE
Provider Business Practice Location Address City Name:
ANNISTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36207-5701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-770-7197
Provider Business Practice Location Address Fax Number:
256-405-4439
Provider Enumeration Date:
07/12/2006