Provider First Line Business Practice Location Address:
PHYSICIANS PROFESSIONAL LABORA
Provider Second Line Business Practice Location Address:
5665 PEACHTREE DUNWOODY ROAD
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-843-7001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2011