Provider First Line Business Practice Location Address:
1919 7TH AVE S
Provider Second Line Business Practice Location Address:
1600 7TH AVE S CLINIC 9
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35294-0007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-3230
Provider Business Practice Location Address Fax Number:
205-934-7013
Provider Enumeration Date:
12/04/2006