Provider First Line Business Practice Location Address:
139 PSYCHOLOGY BUILDING BALDWIN ST
Provider Second Line Business Practice Location Address:
THE UNIVERSITY OF GEORGIA
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30602-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-542-1173
Provider Business Practice Location Address Fax Number:
706-542-8048
Provider Enumeration Date:
06/20/2008