Provider First Line Business Practice Location Address:
550 PEACHTREE STREET L231
Provider Second Line Business Practice Location Address:
EMORY CRAWFORD LONG HOSPITAL
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-686-2387
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2007