Provider First Line Business Practice Location Address:
1600 7TH AVENUE SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-638-3994
Provider Business Practice Location Address Fax Number:
205-638-2087
Provider Enumeration Date:
08/08/2006