Provider First Line Business Practice Location Address:
CHILDREN'S WELLNESS CENTER 755 MT. VERNON HWY., NE
Provider Second Line Business Practice Location Address:
STE. 150
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-303-1314
Provider Business Practice Location Address Fax Number:
404-303-1399
Provider Enumeration Date:
06/06/2006