Provider First Line Business Practice Location Address:
EMORY UNIVERSITY 1365 CLIFTON RD NE
Provider Second Line Business Practice Location Address:
BUILDING B, SUITE 1200
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30322-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2007