Provider First Line Business Practice Location Address:
DERMA BIRMINGHAM, LLC
Provider Second Line Business Practice Location Address:
2142 TYLER ROAD, SUITE 110
Provider Business Practice Location Address City Name:
HOOVER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-825-5575
Provider Business Practice Location Address Fax Number:
205-825-5576
Provider Enumeration Date:
04/13/2022