Provider First Line Business Practice Location Address:
750 TOWNPARK LN NW
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE TOWN PARK MEDICAL CENTER
Provider Business Practice Location Address City Name:
KENNESAW
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30144-5579
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-2020
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2011