Provider First Line Business Practice Location Address:
COLLEGE PARK HEALTH CENTER
Provider Second Line Business Practice Location Address:
1920 JOHN WESLEY AVE
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-765-4155
Provider Business Practice Location Address Fax Number:
414-765-4149
Provider Enumeration Date:
12/27/2006