Provider First Line Business Practice Location Address:
1175 CASCADE PKWY
Provider Second Line Business Practice Location Address:
PEDIATRICS HEALTH CARE TEAM A
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-505-4131
Provider Business Practice Location Address Fax Number:
404-505-4183
Provider Enumeration Date:
09/20/2006