Provider First Line Business Practice Location Address:
OHIO UNIVERSITY
Provider Second Line Business Practice Location Address:
HUDSON HEALTH CENTER 3RD FLOOR
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-876-3011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/27/2018