Provider First Line Business Practice Location Address:
101 DOSTER HALL UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
THE UNIVERSITY OF ALABAMA
Provider Business Practice Location Address City Name:
TUSCALOOSA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35487-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-348-4705
Provider Business Practice Location Address Fax Number:
205-348-8721
Provider Enumeration Date:
10/05/2016