Provider First Line Business Practice Location Address:
121 NORTH 20TH ST #18
Provider Second Line Business Practice Location Address:
THE ORTHOPAEDIC CLINIC P.C.
Provider Business Practice Location Address City Name:
OPELIKA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-749-8303
Provider Business Practice Location Address Fax Number:
334-745-5243
Provider Enumeration Date:
05/11/2006