Provider First Line Business Practice Location Address:
1175 CASCADE PKWY SW
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE CASCADE MEDICAL CENTER
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30311-3090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-505-4006
Provider Business Practice Location Address Fax Number:
404-524-8948
Provider Enumeration Date:
06/04/2006