Provider First Line Business Practice Location Address:
201 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLANTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35045-2329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-280-3793
Provider Business Practice Location Address Fax Number:
205-280-3863
Provider Enumeration Date:
06/04/2006