Provider First Line Business Practice Location Address:
AMEDD PROFESSIONAL MANAGEMENT COMMAND
Provider Second Line Business Practice Location Address:
1401 DESHLER STREET SW
Provider Business Practice Location Address City Name:
FT MCPHERSON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30330-2000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-296-5331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2007