Provider First Line Business Practice Location Address:
80 JESSE HILL DR SE
Provider Second Line Business Practice Location Address:
GRADY MEMORIAL HOSPITAL DEPARTMENT OF SURGERY
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-251-8745
Provider Business Practice Location Address Fax Number:
404-523-3931
Provider Enumeration Date:
07/11/2011