Provider First Line Business Practice Location Address:
1000 MEDICAL CENTER BLVD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30046-7694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-346-1811
Provider Business Practice Location Address Fax Number:
706-378-8864
Provider Enumeration Date:
03/25/2006