Provider First Line Business Practice Location Address:
GEORGE COUNTY MIDDLE SCHOOL
Provider Second Line Business Practice Location Address:
330 CHURCH STREET
Provider Business Practice Location Address City Name:
LUCEDALE
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-947-3106
Provider Business Practice Location Address Fax Number:
601-947-6004
Provider Enumeration Date:
05/03/2007