Provider First Line Business Practice Location Address:
1175 CASCADE PARKWAY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-505-4141
Provider Business Practice Location Address Fax Number:
404-505-4177
Provider Enumeration Date:
09/07/2006