Provider First Line Business Practice Location Address:
2084 HEADLAND DR
Provider Second Line Business Practice Location Address:
JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC
Provider Business Practice Location Address City Name:
EAST POINT
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-965-5691
Provider Business Practice Location Address Fax Number:
404-965-5707
Provider Enumeration Date:
02/12/2007