Provider First Line Business Practice Location Address:
50 MEDICAL DRIVE EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35235-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-838-3002
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2019