Provider First Line Business Practice Location Address:
SOUTHVIEW MEDICAL GROUP, 833 ST. VINCENT DR.
Provider Second Line Business Practice Location Address:
POB 3, SUITE 503
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-933-4440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2007