Provider First Line Business Practice Location Address:
2451 FILLINGIM ST, 1ST FLOOR, UMC
Provider Second Line Business Practice Location Address:
UNIVERSITY OF SOUTH ALABAMA, DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36617-2293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-471-7786
Provider Business Practice Location Address Fax Number:
251-471-7884
Provider Enumeration Date:
04/29/2011