Provider First Line Business Practice Location Address:
2260 LURIGHTSBORO RD
Provider Second Line Business Practice Location Address:
LABORATORY MEDICINE, PC
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-481-7473
Provider Business Practice Location Address Fax Number:
706-481-7868
Provider Enumeration Date:
09/08/2005