Provider First Line Business Practice Location Address:
401 MATTHEW ST
Provider Second Line Business Practice Location Address:
EMERGENCY DEPT
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45750-1635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-376-1939
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2011