Provider First Line Business Practice Location Address:
2 HEALTH CENTER DR
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:
45701-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-593-1616
Provider Business Practice Location Address Fax Number:
740-593-0091
Provider Enumeration Date:
03/23/2007