Provider First Line Business Practice Location Address:
1000 JOHNSON FERRY ROAD, NE
Provider Second Line Business Practice Location Address:
HOSPITAL SERVICES-KAISER PERMANENTE
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-851-7990
Provider Business Practice Location Address Fax Number:
404-851-4969
Provider Enumeration Date:
06/21/2006