Provider First Line Business Practice Location Address:
3000 HOSPITAL BLVD
Provider Second Line Business Practice Location Address:
WELLSTAR NORTH FULTON HOSPITAL
Provider Business Practice Location Address City Name:
ROSWELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-751-2505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2010