Provider First Line Business Practice Location Address:
HWY 66 & US 76
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YOUNG HARRIS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30582-0025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-379-3700
Provider Business Practice Location Address Fax Number:
706-379-1040
Provider Enumeration Date:
05/17/2007