Provider First Line Business Practice Location Address:
HWY 45 SOUTH ROUTE 2
Provider Second Line Business Practice Location Address:
MARION CLINIC
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-683-9085
Provider Business Practice Location Address Fax Number:
334-683-9082
Provider Enumeration Date:
10/11/2006