Provider First Line Business Practice Location Address:
1700 CENTER STREET--
Provider Second Line Business Practice Location Address:
DIVISION OF NEONATOLOGY
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-415-1055
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2012