Provider First Line Business Practice Location Address:
954 GATEWOOD RD NE
Provider Second Line Business Practice Location Address:
YERKES RESEARCH CENTER, EMORY SCHOOL OF MEDICINE
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30329-4208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-778-5526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2006