Provider First Line Business Practice Location Address:
BAPITIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
38111-0010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-288-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2007