Provider First Line Business Practice Location Address:
1365 CLIFTON RD NE
Provider Second Line Business Practice Location Address:
BREAST IMAGING CENTER, WINSHIP C
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30322-1013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-1856
Provider Business Practice Location Address Fax Number:
404-712-7561
Provider Enumeration Date:
05/24/2007