Provider First Line Business Practice Location Address:
700 W MARKET ST
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPT
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35611-2457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-233-9292
Provider Business Practice Location Address Fax Number:
256-233-9279
Provider Enumeration Date:
02/24/2006