Provider First Line Business Practice Location Address:
210 NORTH STREET W, SUITE D
Provider Second Line Business Practice Location Address:
LANDMARK NEPHROLOGY AND HYPERTENSION CLINIC
Provider Business Practice Location Address City Name:
TALLADEGA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-283-9760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2009