Provider First Line Business Practice Location Address:
325 WEST MONTGOMERY CROSSROAD
Provider Second Line Business Practice Location Address:
RALPH H. JOHNSON VA MEDICAL CENTER, SAVANNAH CBOC
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-920-0214
Provider Business Practice Location Address Fax Number:
912-921-2000
Provider Enumeration Date:
07/20/2005