Provider First Line Business Practice Location Address:
VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
700 S. 19TH STREET
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-933-8101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2006