Provider First Line Business Practice Location Address:
US HWY 11 SOUTH
Provider Second Line Business Practice Location Address:
UAB MEDICAL WEST
Provider Business Practice Location Address City Name:
BESSEMER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-706-5010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2006