Provider First Line Business Practice Location Address:
203 NEWNAN CROSSING BYP
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE NEWNAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
NEWNAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30265-1063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-304-4400
Provider Business Practice Location Address Fax Number:
706-653-2329
Provider Enumeration Date:
03/02/2011