Provider First Line Business Practice Location Address:
EMERGENCY MEDICINE DEPARTMENT
Provider Second Line Business Practice Location Address:
3131 S. MAIN ST.
Provider Business Practice Location Address City Name:
MOUTRIE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-890-3479
Provider Business Practice Location Address Fax Number:
229-891-9018
Provider Enumeration Date:
05/15/2018