Provider First Line Business Practice Location Address:
1700 HOSPITAL SOUTH DR. SUITE 500
Provider Second Line Business Practice Location Address:
SOUTH COBB OB-GYN
Provider Business Practice Location Address City Name:
AUSTELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-941-7717
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2005