Provider First Line Business Mailing Address:
UNIVERSITY MEDICAL GROUP, LLC
Provider Second Line Business Mailing Address:
P O BOX 1705
Provider Business Mailing Address City Name:
AUGUSTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30903-1705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-854-6917
Provider Business Mailing Address Fax Number:
706-774-7279