Provider First Line Business Practice Location Address:
750 MORPHY AVE
Provider Second Line Business Practice Location Address:
ATTN: THE HARBOR AT THOMAS HOSPITAL
Provider Business Practice Location Address City Name:
FAIRHOPE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36532-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-279-1119
Provider Business Practice Location Address Fax Number:
251-279-1117
Provider Enumeration Date:
08/21/2007