Provider First Line Business Practice Location Address:
50 MEDICAL PARK DR E
Provider Second Line Business Practice Location Address:
EASTERN HOSPITAL MEDICINE
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35235-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-306-2296
Provider Business Practice Location Address Fax Number:
888-324-2555
Provider Enumeration Date:
09/21/2006