Provider First Line Business Practice Location Address:
420 NORTH JAMES RD
Provider Second Line Business Practice Location Address:
CHALMERS P. WYLIE VA AMBULATORY CARE CENTER
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-257-5578
Provider Business Practice Location Address Fax Number:
614-257-5792
Provider Enumeration Date:
07/03/2007