Provider First Line Business Practice Location Address:
3550 PRESTON RIDGE RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE ALPHARETTA MEDICAL OFFICE
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30005-3821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-296-7032
Provider Business Practice Location Address Fax Number:
773-296-3096
Provider Enumeration Date:
08/29/2006