Provider First Line Business Practice Location Address:
1150 POWDER SPRINGS STREET, SUITE 50
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE AT COBB COUNTY EMPLOYEE HEALTH CLINIC
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-528-1924
Provider Business Practice Location Address Fax Number:
770-439-8641
Provider Enumeration Date:
12/06/2006