Provider First Line Business Practice Location Address:
H623 NEW HILLMAN BUILDING 619 19TH ST S
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY DIVISION OF VASCULAR & INTERVEN
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35249-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-975-4850
Provider Business Practice Location Address Fax Number:
205-975-5257
Provider Enumeration Date:
07/22/2008