Provider First Line Business Practice Location Address:
55 CARLTON ST
Provider Second Line Business Practice Location Address:
UNIVERSITY HEALTH CENTER
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30602-1755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-542-8990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2017