Provider First Line Business Practice Location Address:
BETHESDA MEDICAL GROUP, LLC
Provider Second Line Business Practice Location Address:
9280 HWY 5 - SUITE D
Provider Business Practice Location Address City Name:
DOUGLASVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-328-6398
Provider Business Practice Location Address Fax Number:
404-443-0690
Provider Enumeration Date:
06/08/2020