Provider First Line Business Practice Location Address:
550 PEACHTREE ST NE, SUITE 1135
Provider Second Line Business Practice Location Address:
EMORY UNIVERSITY HOSPITAL MIDTOWN, DEPT OF OTOLARNGOL.
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:
404-729-9610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2011