Provider First Line Business Practice Location Address:
1309 THOMASVILLE ROAD
Provider Second Line Business Practice Location Address:
PHYSICIAN BILLING OFFICE
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-431-7289
Provider Business Practice Location Address Fax Number:
850-431-6975
Provider Enumeration Date:
09/20/2005