Provider First Line Business Practice Location Address:
MULTI-SERVICE CENTER BUILDING
Provider Second Line Business Practice Location Address:
COURTHOUSE ANNEX
Provider Business Practice Location Address City Name:
CARROLLTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35447-0031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-367-1500
Provider Business Practice Location Address Fax Number:
205-367-8367
Provider Enumeration Date:
03/04/2008