Provider First Line Business Practice Location Address:
PREMIER ANESTHESIA-BAPTIST HOSPITAL EAST
Provider Second Line Business Practice Location Address:
400 TAYLOR ROAD
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-277-8330
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006