Provider First Line Business Practice Location Address:
2 HEALTH CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45701-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-593-1660
Provider Business Practice Location Address Fax Number:
740-593-0179
Provider Enumeration Date:
04/05/2006