Provider First Line Business Practice Location Address:
80 JESSE HILL JR DR SE # 26105
Provider Second Line Business Practice Location Address:
GRADY HEALTH SYSTEM, GYN/OB CLINIC
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30303-3031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-616-4898
Provider Business Practice Location Address Fax Number:
404-616-2904
Provider Enumeration Date:
09/26/2006