Provider First Line Business Practice Location Address:
QSM-GA, INC-SNF
Provider Second Line Business Practice Location Address:
1821 ANDERSON AVE NW
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
33014-1835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-466-9988
Provider Business Practice Location Address Fax Number:
305-466-9989
Provider Enumeration Date:
01/23/2007