Provider First Line Business Practice Location Address:
3999 AUSTELL RD SUITE 901
Provider Second Line Business Practice Location Address:
WELLSTREET URGENT CARE
Provider Business Practice Location Address City Name:
AUSTELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-809-3032
Provider Business Practice Location Address Fax Number:
678-817-4058
Provider Enumeration Date:
06/01/2005