Provider First Line Business Practice Location Address:
1300 CEDAR SHOOLS DR
Provider Second Line Business Practice Location Address:
CEDAR SHOALS HIGH SCHOOL
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30605-3551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-546-5375
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2006