Provider First Line Business Practice Location Address:
OFFICE TOWER 550 PEACHTREE STREET NE SUITE 1577
Provider Second Line Business Practice Location Address:
C/O INSIGHT PSYCHOTHERAPY EMORY CRAWFORD LONG MEDICAL
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:
404-685-0226
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2008