Provider First Line Business Practice Location Address: 
801 UNIVERSITY BLVD E
    Provider Second Line Business Practice Location Address: 
DCH CANCER TREATMENT CENTER
    Provider Business Practice Location Address City Name: 
TUSCALOOSA
    Provider Business Practice Location Address State Name: 
AL
    Provider Business Practice Location Address Postal Code: 
35401-2029
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
205-759-7803
    Provider Business Practice Location Address Fax Number: 
205-758-3263
    Provider Enumeration Date: 
09/25/2009