Provider First Line Business Practice Location Address:
550 PEACHTREE STREET MOT 7TH FLOOR NEPHROLOGY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-686-5038
Provider Business Practice Location Address Fax Number:
404-686-4995
Provider Enumeration Date:
03/03/2008