Provider First Line Business Practice Location Address:
205 MARENGO ST.
Provider Second Line Business Practice Location Address:
ELIZA COFFEE MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-768-8764
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2016