Provider First Line Business Practice Location Address:
126 SPRAGINS HL
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ALABAMA IN HUNTSVILLE
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35899-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-457-2175
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2015