Provider First Line Business Practice Location Address:
2795 MAIN ST W BLDG 21
Provider Second Line Business Practice Location Address:
NEW HORIZONS FAMILY CLINIC
Provider Business Practice Location Address City Name:
SNELLVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30078-3164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-248-1637
Provider Business Practice Location Address Fax Number:
770-248-1638
Provider Enumeration Date:
09/24/2007