Provider First Line Business Practice Location Address:
KP GLENHKE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
20 GLENLAKE PKWY
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-677-6043
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2007