Provider First Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY 619 19TH STREET SOUTH
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:
35249-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-5345
Provider Business Practice Location Address Fax Number:
205-934-5688
Provider Enumeration Date:
07/10/2018