Provider First Line Business Practice Location Address:
3645 HABERSHAM RD. SUITE 109
Provider Second Line Business Practice Location Address:
FAMILY EYE CARE CENTER OF ATLANTA
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-549-9999
Provider Business Practice Location Address Fax Number:
713-743-0963
Provider Enumeration Date:
05/31/2005