Provider First Line Business Practice Location Address:
COMMUNITY HEALTH SERVICES BUILDING 20
Provider Second Line Business Practice Location Address:
930 20TH STREET SOUTH
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35294-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-5471
Provider Business Practice Location Address Fax Number:
205-975-2380
Provider Enumeration Date:
10/24/2007