Provider First Line Business Practice Location Address:
UNIVERSITY OF SOUTH ALABAMA
Provider Second Line Business Practice Location Address:
2501 OLD SHELL ROAD
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-341-4094
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2013