Provider First Line Business Practice Location Address:
3550 PRESTON RIDGE ROAD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE ALPHARETTA MEDICAL OFFICE
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-663-3181
Provider Business Practice Location Address Fax Number:
904-202-4219
Provider Enumeration Date:
05/30/2007