Provider First Line Business Practice Location Address:
1109 MEDICAL CENTER DRIVE, SUITE A2
Provider Second Line Business Practice Location Address:
SC HOUSE CALLS INC
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-491-0909
Provider Business Practice Location Address Fax Number:
855-632-8329
Provider Enumeration Date:
10/11/2016