Provider First Line Business Practice Location Address:
1266 HIGHWAY 515
Provider Second Line Business Practice Location Address:
PIEDMONT MOUNTAINSIDE HOSPITAL
Provider Business Practice Location Address City Name:
JASPER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-977-8043
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2011