Provider First Line Business Practice Location Address:
2151 HIGHLAND AVE S STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35205-4017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-939-4122
Provider Business Practice Location Address Fax Number:
205-939-1616
Provider Enumeration Date:
09/01/2010